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General NPI Number Information
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NPI Number | 1265487938
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Entity Type | Organization
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Legal Business Name | LIVE LONGER AT HOME HEALTH CARE SVCS. INC.
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 01/03/2008
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Provider Practice Location Address
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Address Line | 313 W OAK ST
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City | ARCADIA
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State | FL
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Zip | 34266-3917
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Country | US
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Telephone | 863-491-0002
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Fax | 863-491-0005
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Provider Business Mailing Address
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Address Line | 313 W OAK ST
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City | ARCADIA
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State | FL
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Zip | 34266-3917
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Country | US
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Telephone | 863-491-0002
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Fax | 863-491-0005
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. REBEKAH L BURTSCHER
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Credential | RN
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Telephone | 863-491-0002
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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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