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General NPI Number Information
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NPI Number | 1164706164
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Entity Type | Organization
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Legal Business Name | PREFERRED CARE AT HOME OF SEMINOLE COUNTY, INC.
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Dates
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Enumeration Date | 10/09/2011
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Last Update Date | 10/09/2011
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Provider Practice Location Address
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Address Line | 402 GARTH CT
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City | APOPKA
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State | FL
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Zip | 32712-4051
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Country | US
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Telephone | 321-277-1404
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Fax |
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Provider Business Mailing Address
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Address Line | 402 GARTH CT
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City | APOPKA
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State | FL
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Zip | 32712-4051
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Country | US
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Telephone | 321-277-1404
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. TRACEY SCURRAH
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Credential |
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Telephone | 321-442-2730
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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 | 231748
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License Number State | FL
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