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General NPI Number Information
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NPI Number | 1528327046
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Entity Type | Organization
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Legal Business Name | SENIOR HOME COMPANIONS, INC
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Dates
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Enumeration Date | 05/04/2012
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 4075 COUNTY ROAD 106 STE A
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City | OXFORD
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State | FL
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Zip | 34484-3525
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Country | US
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Telephone | 352-874-7870
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Fax | 352-430-2829
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Provider Business Mailing Address
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Address Line | 4075 COUNTY ROAD 106 STE A
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City | OXFORD
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State | FL
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Zip | 34484-3525
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Country | US
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Telephone | 352-874-7870
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Fax | 352-430-2829
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARY C HOTOPP
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Credential | ESQ.
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Telephone | 352-874-7870
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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 | 30211528
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License Number State | FL
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