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General NPI Number Information
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NPI Number | 1215208178
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Entity Type | Organization
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Legal Business Name | PEOPLE'S HOMECARE SERVICE INC.
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Dates
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Enumeration Date | 01/24/2012
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Last Update Date | 01/24/2012
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Provider Practice Location Address
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Address Line | 650 PARK STREET SUITE 2
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City | JACKSONVILLE
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State | FL
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Zip | 32205
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Country | US
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Telephone | 904-374-5450
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Fax | 904-374-5468
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Provider Business Mailing Address
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Address Line | PO BOX 43441
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City | JACKSONVILLE
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State | FL
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Zip | 32203-3441
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Country | US
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Telephone | 904-374-5450
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Fax | 904-374-5468
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ANDRIA RENEE BROWN
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Credential |
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Telephone | 904-524-0024
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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 | 230581
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License Number State | FL
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