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General NPI Number Information
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NPI Number | 1396251591
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Entity Type | Organization
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Legal Business Name | BED OF ROSES SITTING SERVICES, LLC
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 12/26/2017
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Provider Practice Location Address
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Address Line | 3153 ELLINGTON LN
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City | MARIANNA
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State | FL
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Zip | 32446-6903
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Country | US
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Telephone | 850-363-8683
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Fax |
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Provider Business Mailing Address
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Address Line | 3153 ELLINGTON LN
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City | MARIANNA
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State | FL
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Zip | 32446-6903
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Country | US
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Telephone | 850-363-8683
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MELDRIC BARNES
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Credential |
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Telephone | 850-363-8683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number | 234957
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License Number State | FL
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