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General NPI Number Information
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NPI Number | 1508294802
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Entity Type | Organization
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Legal Business Name | HOME INSTEAD SENIOR CARE
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Dates
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Enumeration Date | 10/23/2013
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Last Update Date | 10/23/2013
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Provider Practice Location Address
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Address Line | 9191 R G SKINNER PKWY STE. 803
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City | JACKSONVILLE
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State | FL
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Zip | 32256-9655
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Country | US
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Telephone | 904-363-6699
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Fax |
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Provider Business Mailing Address
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Address Line | 9191 R G SKINNER PKWY STE. 803
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City | JACKSONVILLE
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State | FL
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Zip | 32256-9655
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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 | CEO
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Name | DAVID HILL
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Credential |
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Telephone | 904-363-6699
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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 | 299992175
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License Number State | FL
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