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General NPI Number Information
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NPI Number | 1922425255
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Entity Type | Organization
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Legal Business Name | CONSUMER SUPPORT NETWORK, LTD. CO.
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Dates
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Enumeration Date | 03/25/2014
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 2833 SW BRIGHTON ST
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-3265
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Country | US
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Telephone | 772-871-7863
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Fax | 561-200-6271
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Provider Business Mailing Address
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Address Line | 2833 SW BRIGHTON ST
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-3265
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Country | US
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Telephone | 772-871-7863
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Fax | 561-200-6271
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Authorized Official
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Title or Position | COO
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Name | MARCELLE JEAN-FRANCOIS
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Credential | M. ED.
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Telephone | 772-871-7863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | FL
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