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General NPI Number Information
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NPI Number | 1013108331
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Entity Type | Organization
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Legal Business Name | WINGS OF LOVE
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1633 MORNIGSIDE DRIVE
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City | MIDDLEBERG
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State | FL
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Zip | 33208
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Country | US
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Telephone | 352-624-3227
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Fax | 352-861-6375
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Provider Business Mailing Address
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Address Line | 1803 SE 3RD AVE
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City | OCALA
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State | FL
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Zip | 34471-5124
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Country | US
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Telephone | 352-624-3227
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Fax | 352-861-6375
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JOY BRINSON
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Credential |
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Telephone | 352-286-4958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | FL
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