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General NPI Number Information
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NPI Number | 1285444612
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Entity Type | Organization
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Legal Business Name | TAMPA BAY GARDEN HOME HEALTH LLC
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Dates
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Enumeration Date | 01/08/2025
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 3811 W SLIGH AVE STE L
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City | TAMPA
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State | FL
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Zip | 33614-3901
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Country | US
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Telephone | 813-790-5074
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Fax |
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Provider Business Mailing Address
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Address Line | 3811 W SLIGH AVE STE L
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City | TAMPA
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State | FL
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Zip | 33614-3901
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Country | US
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Telephone | 813-790-5074
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | DIANA J MOLINA
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Credential |
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Telephone | 813-500-2258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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