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General NPI Number Information
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NPI Number | 1043779812
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Entity Type | Organization
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Legal Business Name | BENI GARDEN HOME HEALTH
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Dates
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Enumeration Date | 03/19/2019
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Last Update Date | 03/19/2019
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Provider Practice Location Address
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Address Line | 817 SONGBIRD DR
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City | ORANGE PARK
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State | FL
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Zip | 32065-2587
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Country | US
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Telephone | 904-405-0695
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Fax |
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Provider Business Mailing Address
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Address Line | 817 SONGBIRD DR
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City | ORANGE PARK
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State | FL
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Zip | 32065-2587
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Country | US
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Telephone | 904-405-0695
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. ROSEMONDE B TOUSSAINT
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Credential | RN/BSN
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Telephone | 904-405-0695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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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 |
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