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General NPI Number Information
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NPI Number | 1285790253
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HOME HEALTH CARE GENERAL SERVICES, INC.
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 03/01/2018
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Provider Practice Location Address
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Address Line | 1015 STATE RD 436 SUITE 209
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City | CASSELBERRY
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State | FL
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Zip | 32707
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Country | US
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Telephone | 407-644-9644
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Fax | 407-644-7780
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Provider Business Mailing Address
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Address Line | 1015 STATE RD 436 SUITE 209
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City | CASSELBERRY
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State | FL
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Zip | 32707
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Country | US
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Telephone | 407-644-9644
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Fax | 407-644-7780
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Authorized Official
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Title or Position | OWNER
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Name | ANAYANSI OXAMENDI
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Credential |
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Telephone | 407-644-9644
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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 | 299992591
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License Number State | FL
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