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General NPI Number Information
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NPI Number | 1386780757
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Entity Type | Organization
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Legal Business Name | LISENBY HOME CARE, INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 412 N COVE BLVD
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City | PANAMA CITY
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State | FL
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Zip | 32401-3726
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Country | US
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Telephone | 850-769-0440
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Fax | 850-784-0218
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Provider Business Mailing Address
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Address Line | 412 N COVE BLVD
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City | PANAMA CITY
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State | FL
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Zip | 32401-3726
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Country | US
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Telephone | 850-769-0440
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Fax | 850-784-0218
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MS. ANN LISENBY PARMER
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Credential |
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Telephone | 850-769-0440
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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 | 20651096
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License Number State | FL
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