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General NPI Number Information
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NPI Number | 1124753470
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Entity Type | Organization
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Legal Business Name | MRC HOME CARE INC
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Dates
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Enumeration Date | 07/20/2022
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 3806 GUNN HWY STE D
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City | TAMPA
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State | FL
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Zip | 33618-8754
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Country | US
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Telephone | 813-808-6614
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Fax | 941-827-8986
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Provider Business Mailing Address
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Address Line | 7827 N DALE MABRY HWY STE 102
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City | TAMPA
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State | FL
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Zip | 33614-3222
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Country | US
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Telephone | 813-808-6614
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MASSIEL PAULA RODRIGUEZ CRUZ
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Credential | RN
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Telephone | 813-808-6614
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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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