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General NPI Number Information
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NPI Number | 1255742672
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Entity Type | Organization
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Legal Business Name | MARANATHA HOME HEALTH, INC
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 9280 BAY PLAZA BLVD SUITE 717
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City | TAMPA
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State | FL
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Zip | 33619
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Country | US
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Telephone | 813-482-9807
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Fax | 813-445-4305
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Provider Business Mailing Address
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Address Line | 9280 BAY PLAZA BLVD SUITE 717
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City | TAMPA
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State | FL
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Zip | 33619
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Country | US
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Telephone | 813-482-9807
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARIA D SANCHEZ
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Credential |
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Telephone | 813-482-9807
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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 |
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License Number State |
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