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General NPI Number Information
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NPI Number | 1316492002
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Entity Type | Organization
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Legal Business Name | FLORIDA HOME HEALTH'S PINK RIBBON BOUTIQUE
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Dates
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Enumeration Date | 08/23/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 22 W UNDERWOOD ST 3RD FLOOR
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City | ORLANDO
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State | FL
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Zip | 32806-1110
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Country | US
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Telephone | 407-843-2777
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Fax | 407-843-5545
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Provider Business Mailing Address
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Address Line | 4700 L B MCLEOD RD SUITE 5
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City | ORLANDO
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State | FL
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Zip | 32811-6422
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Country | US
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Telephone | 407-843-2777
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Fax | 407-843-5545
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Authorized Official
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Title or Position | PRESIDENT
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Name | FARO RANDAZZO
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Credential |
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Telephone | 407-843-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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