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General NPI Number Information
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NPI Number | 1962761858
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Entity Type | Organization
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Legal Business Name | N.E.F. COMMUNITY ACHIEVEMENT NETWORK, INC
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Dates
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Enumeration Date | 05/11/2012
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Last Update Date | 05/11/2012
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Provider Practice Location Address
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Address Line | 419-A COLLEGE DR. SUITE 6
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City | MIDDLEBURG
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State | FL
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Zip | 32068
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Country | US
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Telephone | 904-718-9296
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Fax | 904-272-5097
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Provider Business Mailing Address
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Address Line | P.O. BOX 66101
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City | ORANGE PARK
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State | FL
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Zip | 32065
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Country | US
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Telephone | 904-718-9296
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Fax | 904-272-5097
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARY A. SMITH
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Credential |
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Telephone | 904-718-9296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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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 |
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Taxonomy #3
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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