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General NPI Number Information
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NPI Number | 1023743853
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Entity Type | Organization
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Legal Business Name | FIRST FRUIT HOME CARE LLC
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Dates
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Enumeration Date | 07/16/2022
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 7171 MARK ST
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City | JACKSONVILLE
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State | FL
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Zip | 32210-4839
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Country | US
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Telephone | 904-805-6897
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Fax |
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Provider Business Mailing Address
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Address Line | 7171 MARK ST
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City | JACKSONVILLE
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State | FL
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Zip | 32210-4839
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Country | US
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Telephone | 904-805-6897
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AFRICA JONES
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Credential |
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Telephone | 904-822-9203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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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 | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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