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General NPI Number Information
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NPI Number | 1003599481
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Entity Type | Organization
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Legal Business Name | SHILOH HOME HEALTH CARE
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 2816 CLEARFIELD AVE
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City | ORLANDO
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State | FL
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Zip | 32808-3427
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Country | US
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Telephone | 407-276-1200
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Fax |
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Provider Business Mailing Address
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Address Line | 1359 RALPH POE DR
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City | APOPKA
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State | FL
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Zip | 32703-4402
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Country | US
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Telephone | 140-727-6120
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/DIRECTOR OF NURSING
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Name | MARLENE ORIVAL
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Credential |
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Telephone | 407-276-1200
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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 |
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