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General NPI Number Information
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NPI Number | 1023234366
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE HOME CARE OF NORTH WEST FLORIDA
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 07/20/2011
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Provider Practice Location Address
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Address Line | 7552 NAVARRE PKWY SUITE 4
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City | NAVARRE
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State | FL
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Zip | 32566-7305
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Country | US
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Telephone | 850-748-0065
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Fax | 850-936-0908
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Provider Business Mailing Address
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Address Line | 7552 NAVARRE PKWY SUITE 4
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City | NAVARRE
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State | FL
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Zip | 32566-7305
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Country | US
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Telephone | 850-748-0065
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Fax | 850-936-0908
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Authorized Official
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Title or Position | OWNER
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Name | MR. FRANK DANIEL
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Credential | PT
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Telephone | 850-207-0556
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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 | 299992842
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License Number State | FL
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