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General NPI Number Information
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NPI Number | 1477067502
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Entity Type | Organization
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Legal Business Name | LEGACY HOME HEALTH CARE
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 445 S LAWRENCE BLVD
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City | KEYSTONE HEIGHTS
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State | FL
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Zip | 32656-9222
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Country | US
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Telephone | 352-478-7030
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Fax | 352-478-7035
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Provider Business Mailing Address
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Address Line | 7384 STATE ROAD 21 KEYSTONE HEIGHTS, FL 32656
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City | KEYSTONE HEIGHTS
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State | FL
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Zip | 32656
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Country | US
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Telephone | 523-478-7030
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Fax | 352-478-7035
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ELIZABETH MURPHY
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Credential | RN
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Telephone | 352-478-7030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 299994720
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License Number State | FL
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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 | 299994720
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License Number State | FL
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