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General NPI Number Information
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NPI Number | 1447589627
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Entity Type | Organization
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Legal Business Name | THE HOMECARE TEAM LLC
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Dates
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Enumeration Date | 12/16/2009
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Last Update Date | 12/16/2009
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Provider Practice Location Address
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Address Line | 3750 GUNN HWY STE 100
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City | TAMPA
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State | FL
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Zip | 33618-8911
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Country | US
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Telephone | 813-476-3416
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Fax |
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Provider Business Mailing Address
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Address Line | 16203 BELLE MEADE BLVD
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City | ODESSA
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State | FL
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Zip | 33556-3334
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Country | US
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Telephone | 813-476-3416
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LAURA CHRISTINE TUTTLE
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Credential | RN
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Telephone | 813-476-3416
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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 | 299992908
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License Number State | FL
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