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General NPI Number Information
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NPI Number | 1427206481
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Entity Type | Organization
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Legal Business Name | 3D PROVIDERS CORPORATION
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 144 SW WATERFORD CT SUITE 101
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City | LAKE CITY
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State | FL
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Zip | 32025-0767
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Country | US
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Telephone | 386-752-0024
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Fax |
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Provider Business Mailing Address
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Address Line | 111 SW SABRE AVE
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City | LAKE CITY
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State | FL
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Zip | 32024-0923
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Country | US
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Telephone | 386-755-3465
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONNA DELBENE
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Credential |
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Telephone | 386-752-0024
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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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Taxonomy #2
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 1370
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #6
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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 | FL
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Taxonomy #7
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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