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General NPI Number Information
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NPI Number | 1538406277
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Entity Type | Organization
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Legal Business Name | MS SUPPLY & HOME HEALTH CO.
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Dates
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Enumeration Date | 01/15/2013
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Last Update Date | 01/15/2013
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Provider Practice Location Address
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Address Line | 1315 HOMESTEAD RD N UNIT G
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City | LEHIGH ACRES
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State | FL
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Zip | 33936-6034
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Country | US
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Telephone | 800-680-3722
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Fax | 800-680-2899
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Provider Business Mailing Address
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Address Line | PO BOX 2642
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City | BRANDON
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State | FL
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Zip | 33509-2642
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Country | US
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Telephone | 800-680-3722
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Fax | 800-680-2899
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Authorized Official
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Title or Position | ADMINISTRATIOR
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Name | MRS. MAGDALENA SANTOS
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Credential |
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Telephone | 800-680-3722
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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 | 299994094
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License Number State | FL
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