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General NPI Number Information
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NPI Number | 1124890850
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Entity Type | Organization
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Legal Business Name | ADVANCED USRN HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/25/2023
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Provider Practice Location Address
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Address Line | 146 VICTORIA OAKS BLVD
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City | DELAND
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State | FL
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Zip | 32724-7591
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Country | US
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Telephone | 850-570-4468
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Fax |
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Provider Business Mailing Address
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Address Line | 146 VICTORIA OAKS BLVD
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City | DELAND
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State | FL
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Zip | 32724-7591
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Country | US
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Telephone | 850-570-4468
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. FERDINAND FLORES
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Credential | ARNP
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Telephone | 850-570-4468
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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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