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General NPI Number Information
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NPI Number | 1245404250
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Entity Type | Organization
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Legal Business Name | MARCIA A. HOWELL
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 17305 BLOOMING FIELDS DR
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City | LAND O LAKES
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State | FL
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Zip | 34638-7222
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Country | US
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Telephone | 813-505-0454
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Fax | 813-926-4304
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Provider Business Mailing Address
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Address Line | PO BOX 321
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City | LAND O LAKES
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State | FL
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Zip | 34639-0321
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Country | US
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Telephone | 813-505-0454
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Fax | 813-926-4304
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARCIA A HOWELL
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Credential |
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Telephone | 813-505-0454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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