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General NPI Number Information
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NPI Number | 1043636186
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Entity Type | Organization
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Legal Business Name | WATCHFUL EYE & LENDING HAND
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Dates
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Enumeration Date | 03/13/2014
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Last Update Date | 03/13/2014
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Provider Practice Location Address
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Address Line | 850 NE 36TH TER
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City | OCALA
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State | FL
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Zip | 34470-2050
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Country | US
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Telephone | 352-622-6633
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Fax | 352-622-6635
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Provider Business Mailing Address
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Address Line | PO BOX 4738
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City | OCALA
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State | FL
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Zip | 34478-4738
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Country | US
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Telephone | 352-622-6633
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Fax | 352-622-6635
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Authorized Official
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Title or Position | TREASURER
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Name | JENNIFER L SHAVERS
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Credential |
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Telephone | 352-622-6633
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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 | 231368
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License Number State | FL
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