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General NPI Number Information
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NPI Number | 1013343193
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Entity Type | Organization
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Legal Business Name | MEDICAL HOUSECALL SERVICES INC
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Dates
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Enumeration Date | 09/19/2013
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Last Update Date | 09/24/2013
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Provider Practice Location Address
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Address Line | 6004 RIVIERA LN
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-5629
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Country | US
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Telephone | 727-364-3791
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Fax | 727-376-3873
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Provider Business Mailing Address
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Address Line | 1324 SEVEN SPRINGS BLVD STE 321
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City | NEW PORT RICHEY
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State | FL
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Zip | 34655-5635
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Country | US
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Telephone | 727-364-3791
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Fax | 727-376-3873
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTINE E DAVIS
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Credential | NP
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Telephone | 727-364-3791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | NP3403642
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License Number State | FL
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