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General NPI Number Information
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NPI Number | 1306540489
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Entity Type | Organization
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Legal Business Name | ST VINCENT HOME HEALTH CARE AGENCY LLC
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Dates
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Enumeration Date | 03/30/2023
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 10037 US HIGHWAY 19
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City | PORT RICHEY
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State | FL
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Zip | 34668-3742
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Country | US
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Telephone | 813-981-9335
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Fax |
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Provider Business Mailing Address
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Address Line | 10037 US HIGHWAY 19
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City | PORT RICHEY
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State | FL
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Zip | 34668-3742
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Country | US
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Telephone | 813-981-9335
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CONGETA ARMSTRONG
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Credential | RN
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Telephone | 631-782-7332
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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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