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General NPI Number Information
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NPI Number | 1396194528
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Entity Type | Organization
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Legal Business Name | MARTHA'S CARING HOMEMAKERS AND COMPANIONS
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 06/08/2016
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Provider Practice Location Address
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Address Line | 3449 NE 162ND ST.
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City | CITRA
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State | FL
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Zip | 32113
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Country | US
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Telephone | 352-595-1775
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 705
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City | CITRA
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State | FL
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Zip | 32113-0705
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Country | US
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Telephone | 352-595-1775
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARTHA RAY RUTLEY
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Credential |
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Telephone | 352-595-1775
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number | 234390
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | 234390
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 234390
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License Number State | FL
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