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General NPI Number Information
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NPI Number | 1558783522
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Entity Type | Organization
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Legal Business Name | MILLER HOME HEALTH AGENCY, INC
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 71 COLLEGE DR
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City | ORANGE PARK
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State | FL
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Zip | 32065-9024
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Country | US
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Telephone | 904-215-8520
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Fax | 904-215-8524
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Provider Business Mailing Address
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Address Line | 71 COLLEGE DR
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City | ORANGE PARK
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State | FL
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Zip | 32065-9024
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Country | US
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Telephone | 904-215-8520
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Fax | 904-215-8524
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Authorized Official
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Title or Position | OWNER
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Name | MS. BETSY MILLER
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Credential |
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Telephone | 904-215-8520
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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 |
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License Number State | FL
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