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General NPI Number Information
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NPI Number | 1154734234
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Entity Type | Organization
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Legal Business Name | SENSICARE SERVICES, INC.
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Dates
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Enumeration Date | 06/06/2014
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Last Update Date | 06/06/2014
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Provider Practice Location Address
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Address Line | 1225 W BEAVER ST SUITE 117
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City | JACKSONVILLE
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State | FL
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Zip | 32204-1414
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Country | US
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Telephone | 904-265-0752
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 W BEAVER ST SUITE 117
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City | JACKSONVILLE
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State | FL
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Zip | 32204-1414
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Country | US
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Telephone | 904-265-0752
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | BEVERLY DAVIS
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Credential |
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Telephone | 904-466-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 18720
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License Number State | FL
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