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General NPI Number Information
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NPI Number | 1104613181
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Entity Type | Organization
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Legal Business Name | MINI MILITIA NURSING LLC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 9752 N SANDREE DR
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City | CITRUS SPRINGS
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State | FL
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Zip | 34434-4156
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Country | US
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Telephone | 352-270-6278
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Fax |
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Provider Business Mailing Address
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Address Line | 9752 N SANDREE DR
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City | CITRUS SPRINGS
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State | FL
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Zip | 34434-4156
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Country | US
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Telephone | 352-270-6278
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW BREWER
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Credential |
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Telephone | 352-949-3368
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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 |
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License Number State |
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