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General NPI Number Information
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NPI Number | 1548467988
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Entity Type | Organization
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Legal Business Name | HOMEGUARDIANS SERVICES, LLC
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Dates
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Enumeration Date | 06/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1901 W COLONIAL DR SUITE 7
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City | ORLANDO
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State | FL
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Zip | 32804-7021
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Country | US
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Telephone | 407-929-8522
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Fax | 407-295-7871
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Provider Business Mailing Address
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Address Line | 1901 W COLONIAL DR SUITE 7
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City | ORLANDO
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State | FL
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Zip | 32804-7021
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Country | US
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Telephone | 407-929-8522
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Fax | 407-295-7871
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Authorized Official
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Title or Position | FINANCIAL MANAGER
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Name | MR. ALPHONSE STUPPARD
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Credential |
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Telephone | 407-929-4885
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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 | 229175
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License Number State | FL
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