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General NPI Number Information
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NPI Number | 1962700567
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Entity Type | Organization
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Legal Business Name | A TIME TO SHARE A TIME TO CARE, INC.
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Dates
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Enumeration Date | 03/05/2011
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Last Update Date | 10/11/2016
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Provider Practice Location Address
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Address Line | 2121 CORPORATE SQUARE BLVD 214 B
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City | JACKSONVILLE
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State | FL
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Zip | 32216-0309
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Country | US
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Telephone | 904-894-7764
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Fax |
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Provider Business Mailing Address
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Address Line | 2121-B CORPORATES SQUARE BLVD 214
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City | JACKSONVILLE
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State | FL
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Zip | 32216
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. THERESA COBBS
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Credential |
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Telephone | 904-894-7764
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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 | 692498196
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License Number State | FL
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