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General NPI Number Information
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NPI Number | 1104283175
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Entity Type | Organization
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Legal Business Name | AMA HOME HEALTH AGENCY, INC
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 1655 E SEMORAN BLVD SUIT 29
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City | APOPKA
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State | FL
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Zip | 32703-5624
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Country | US
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Telephone | 407-350-0653
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Fax |
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Provider Business Mailing Address
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Address Line | 1655 E SEMORAN BLVD SUIT 29
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City | APOPKA
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State | FL
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Zip | 32703-5624
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Country | US
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Telephone | 407-350-0653
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DANIEL E REYES
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Credential |
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Telephone | 407-350-0653
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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 | 299994482
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License Number State | FL
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