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General NPI Number Information
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NPI Number | 1558937300
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE HOME CARE AGENCY LLC
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 7101 WILSON BLVD APT 4302
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City | JACKSONVILLE
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State | FL
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Zip | 32210-3697
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Country | US
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Telephone | 386-983-5819
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Fax |
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Provider Business Mailing Address
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Address Line | 7101 WILSON BLVD APT 4302
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City | JACKSONVILLE
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State | FL
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Zip | 32210-3697
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Country | US
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Telephone | 386-983-5819
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Fax |
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Authorized Official
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Title or Position | CFO /OWNER
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Name | CARLEEN SCHWARZ
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Credential |
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Telephone | 386-983-5819
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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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