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General NPI Number Information
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NPI Number | 1326812561
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Entity Type | Organization
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Legal Business Name | JOYFUL FLORIDA CORP
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Dates
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Enumeration Date | 11/08/2023
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Last Update Date | 01/29/2024
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Provider Practice Location Address
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Address Line | 402 APACHE LN
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City | SEFFNER
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State | FL
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Zip | 33584-4746
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Country | US
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Telephone | 646-210-4922
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Fax |
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Provider Business Mailing Address
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Address Line | 106 S SAINT CLOUD AVE
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City | VALRICO
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State | FL
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Zip | 33594-3990
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Country | US
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Telephone | 646-210-4922
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOY MEKKATTE
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Credential |
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Telephone | 646-210-4922
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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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