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General NPI Number Information
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NPI Number | 1538701354
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Entity Type | Organization
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Legal Business Name | SDX HOME CARE OPERATIONS, LLC
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 1315 SE 25TH LOOP #102
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City | OCALA
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State | FL
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Zip | 34471
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Country | US
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Telephone | 352-221-9582
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Fax |
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Provider Business Mailing Address
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Address Line | 1 PARK PLAZA STE. 300
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City | IRVINE
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State | CA
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Zip | 92614
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Country | US
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Telephone | 949-568-0021
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Fax |
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Authorized Official
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Title or Position | VP, FINANCE
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Name | RUTH AZANKI
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Credential |
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Telephone | 949-621-9649
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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 |
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License Number State |
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