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General NPI Number Information
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NPI Number | 1407579766
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Entity Type | Organization
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Legal Business Name | TOTAL RESTORATION HOME CARE LLC
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 09/22/2022
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Provider Practice Location Address
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Address Line | 618 E SOUTH ST STE 500
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City | ORLANDO
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State | FL
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Zip | 32801-2986
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Country | US
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Telephone | 407-717-2364
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Fax |
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Provider Business Mailing Address
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Address Line | 618 E SOUTH ST STE 500
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City | ORLANDO
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State | FL
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Zip | 32801-2986
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Country | US
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Telephone | 407-717-2364
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. SUZY HANAN PETER
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Credential | RN NURSE
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Telephone | 407-717-2364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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