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General NPI Number Information
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NPI Number | 1154966463
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Entity Type | Organization
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Legal Business Name | BLUE MAGNOLIA PLACE, LLC
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | 2218 PALMETUM LOOP
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City | APOPKA
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State | FL
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Zip | 32712-6066
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Country | US
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Telephone | 407-703-7406
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1029
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City | APOPKA
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State | FL
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Zip | 32704-1029
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MARIE GAYLE
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Credential |
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Telephone | 407-703-7406
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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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