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General NPI Number Information
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NPI Number | 1164662169
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Entity Type | Organization
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Legal Business Name | YOUR HOME COMPANION
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 844 27TH AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33704-2708
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Country | US
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Telephone | 727-388-1698
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Fax | 727-388-6679
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Provider Business Mailing Address
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Address Line | 4604 49TH ST N 11
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City | ST PETERSBURG
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State | FL
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Zip | 33709-3842
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Country | US
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Telephone | 727-388-1698
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Fax | 727-388-6679
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Authorized Official
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Title or Position | OWNER/HOMEMAKER
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Name | MRS. LAURA BARBIN
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Credential |
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Telephone | 727-388-1698
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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 | 230441
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License Number State | FL
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