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General NPI Number Information
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NPI Number | 1073551099
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Entity Type | Organization
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Legal Business Name | TOTAL PATIENT CARE HOME HEALTH, LLC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6820 SOUTHPOINT PKWY SUITE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6276
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Country | US
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Telephone | 904-399-1142
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Fax | 904-346-4380
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Provider Business Mailing Address
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Address Line | 6820 SOUTHPOINT PKWY SUITE 4
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6276
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Country | US
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Telephone | 904-399-1142
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Fax | 904-346-4380
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Authorized Official
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Title or Position | ADMINISTRATOR CEO
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Name | MR. RONALD R ARRINGTON
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Credential |
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Telephone | 904-399-1142
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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 | 21661096
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License Number State | FL
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