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General NPI Number Information
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NPI Number | 1912592338
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Entity Type | Organization
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Legal Business Name | REJOICE IN RECOVERY LLC
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Dates
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Enumeration Date | 03/08/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 2600 W OLD US HIGHWAY 441 STE 314
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City | MOUNT DORA
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State | FL
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Zip | 32757-3548
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Country | US
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Telephone | 321-529-1933
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 314
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City | MOUNT DORA
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State | FL
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Zip | 32756-0314
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Country | US
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Telephone | 321-529-1933
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Fax |
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Authorized Official
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Title or Position | RN, BSN, DIRECTOR OF NURSING
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Name | JENNA BEAULIEU
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Credential | RN, BSN
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Telephone | 321-529-1933
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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