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General NPI Number Information
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NPI Number | 1295007219
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Entity Type | Organization
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Legal Business Name | HOME CARE OF TAMPA BAY, LLC
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Dates
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Enumeration Date | 02/07/2012
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 1301 10TH ST E STE B
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City | PALMETTO
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State | FL
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Zip | 34221-4161
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Country | US
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Telephone | 941-479-7800
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Fax | 941-479-7801
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Provider Business Mailing Address
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Address Line | 3626 US HIGHWAY 301 N
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City | ELLENTON
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State | FL
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Zip | 34222-2327
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Country | US
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Telephone | 941-479-7800
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Fax | 941-479-7801
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Authorized Official
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Title or Position | CEO
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Name | DAVID CURTIS
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Credential |
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Telephone | 941-479-7800
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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 | 299994024
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License Number State | FL
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