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General NPI Number Information
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NPI Number | 1366986895
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Entity Type | Organization
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Legal Business Name | ADVANCE CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 1410 LAKE TARPON AVE SUITE E
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-5300
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Country | US
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Telephone | 727-934-0000
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Fax | 727-934-0001
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Provider Business Mailing Address
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Address Line | 1410 LAKE TARPON AVE SUITE E
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-5300
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Country | US
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Telephone | 727-934-0000
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Fax | 727-934-0001
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | JAIME TURNER HILL
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Credential | RN
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Telephone | 727-934-0000
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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 | 299994603
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License Number State | FL
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