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General NPI Number Information
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NPI Number | 1104199264
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Entity Type | Organization
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Legal Business Name | NEW BEGINNING HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 02/20/2012
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Provider Practice Location Address
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Address Line | 213 MAGELLAN CIR
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City | MINNEOLA
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State | FL
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Zip | 34715-5703
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Country | US
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Telephone | 352-434-1205
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Fax | 352-602-7952
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Provider Business Mailing Address
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Address Line | 213 MALLEGAN CIRCLE
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City | MINNEOLA
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State | FL
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Zip | 34715
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Country | UM
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Telephone | 352-434-1205
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Fax | 352-602-7952
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Authorized Official
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Title or Position | ONWER/SUPERVISOR
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Name | COUNTESS MARKIA WATKINS
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Credential |
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Telephone | 352-434-1205
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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 | 004370100
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License Number State | FL
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