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General NPI Number Information
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NPI Number | 1154162857
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Entity Type | Organization
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Legal Business Name | ABODE HOSPICE OF FLORIDA, LLC
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 4200 NW 90TH BLVD
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City | GAINESVILLE
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State | FL
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Zip | 32606-3809
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Country | US
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Telephone | 352-378-2121
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Fax |
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Provider Business Mailing Address
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Address Line | 4200 NW 90TH BLVD
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City | GAINESVILLE
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State | FL
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Zip | 32606-3809
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Country | US
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Telephone | 352-378-2121
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | JAY KOEPER
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Credential |
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Telephone | 970-828-2210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315D00000X
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Taxonomy Name | Inpatient Hospice
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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