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General NPI Number Information
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NPI Number | 1386043024
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Entity Type | Organization
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Legal Business Name | SPECIALTY HOME HEALTH AGENCY
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Dates
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Enumeration Date | 08/19/2014
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Last Update Date | 08/19/2014
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Provider Practice Location Address
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Address Line | 11983 US TAMIAMI TRAIL NORTH SUITE 132
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City | NAPLES
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State | FL
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Zip | 34110
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Country | US
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Telephone | 239-280-0953
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Fax | 239-300-0153
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Provider Business Mailing Address
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Address Line | PO BOX 7364
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City | NAPLES
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State | FL
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Zip | 34101
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Country | US
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Telephone | 239-280-0953
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Fax | 239-300-0153
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Authorized Official
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Title or Position | ADMINISTRATOR/DON
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Name | MISS JUDY ANN BELLI
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Credential | RN
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Telephone | 239-280-0953
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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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