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General NPI Number Information
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NPI Number | 1467489609
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Entity Type | Organization
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Legal Business Name | BAYCARE HOMECARE INC
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 8452 118TH AVE
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City | LARGO
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State | FL
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Zip | 33773-5007
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Country | US
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Telephone | 727-394-6585
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Fax | 727-394-6542
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Provider Business Mailing Address
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Address Line | 8452 118TH AVE
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City | LARGO
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State | FL
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Zip | 33773-5007
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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 | DIRECTOR
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Name | MRS. TIMISI C JOHNSON
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Credential | RN
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Telephone | 727-470-4609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | PH19055
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License Number State | FL
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