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General NPI Number Information
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NPI Number | 1104283290
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Entity Type | Organization
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Legal Business Name | FAYDON INC. DBA RIGHT AT HOME EASTERN HILLSBOROUGH COUNTY
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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 | 1905 W BAKER ST
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City | PLANT CITY
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State | FL
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Zip | 33563-1601
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Country | US
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Telephone | 813-764-9290
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Fax | 813-764-9252
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Provider Business Mailing Address
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Address Line | 1905 W BAKER ST
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City | PLANT CITY
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State | FL
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Zip | 33563-1601
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Country | US
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Telephone | 813-764-9290
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Fax | 813-764-9252
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONNA WILLIAMS
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Credential | RN
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Telephone | 813-764-9290
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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 | 299993770
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License Number State | FL
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