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General NPI Number Information
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NPI Number | 1447510144
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Entity Type | Organization
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Legal Business Name | FLORENCE NIGHT AND DAY LLC
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Dates
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Enumeration Date | 05/29/2012
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Last Update Date | 05/29/2012
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Provider Practice Location Address
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Address Line | 2830 NW 32ND ST STE 302
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City | NEWCASTLE
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State | OK
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Zip | 73065-6606
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Country | US
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Telephone | 800-684-3570
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Fax |
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Provider Business Mailing Address
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Address Line | 2830 NW 32ND ST STE 302
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City | NEWCASTLE
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State | OK
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Zip | 73065-6606
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. JERRY DEUTSCHENDORF
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Credential |
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Telephone | 800-684-3570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 7978
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 7978
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License Number State | OK
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