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General NPI Number Information
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NPI Number | 1124574835
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Entity Type | Organization
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Legal Business Name | A LOVING TOUCH PRIVATE HOME CARE
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Dates
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Enumeration Date | 09/01/2016
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 1595 PALMWOOD DRIVE
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City | MELBOURNE
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State | FL
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Zip | 32935
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Country | US
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Telephone | 321-557-5539
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Fax |
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Provider Business Mailing Address
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Address Line | 1595 PALMWOOD DRIVE
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City | MELBOURNE
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State | FL
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Zip | 32935
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Country | US
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Telephone | 321-557-5539
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMILY VELAIN DURHAM
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Credential | CNA
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Telephone | 321-557-5539
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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 | G150000020815
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License Number State | FL
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