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General NPI Number Information
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NPI Number | 1194546663
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Entity Type | Organization
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Legal Business Name | BRIELLE HOME HEALTH CARE, LLC.
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Dates
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Enumeration Date | 10/17/2024
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 289 JAMES CIR
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City | LAKE ALFRED
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State | FL
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Zip | 33850-2752
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Country | US
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Telephone | 407-732-9821
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Fax |
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Provider Business Mailing Address
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Address Line | 289 JAMES CIR
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City | LAKE ALFRED
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State | FL
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Zip | 33850-2752
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Country | US
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Telephone | 407-732-9821
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | STEPHANIE FONTANEZ
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Credential |
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Telephone | 407-732-9821
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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