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General NPI Number Information
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NPI Number | 1568772994
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Entity Type | Organization
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Legal Business Name | ASSURED & ASSOCIATES PERSONAL CARE OF FL, LLC
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Dates
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Enumeration Date | 10/19/2010
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 1800 PEMBROOK DR STE 300
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City | ORLANDO
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State | FL
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Zip | 32810-6378
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Country | US
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Telephone | 407-667-3410
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Fax |
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Provider Business Mailing Address
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Address Line | 8336 OFFICE PARK DR
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-6937
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RUBY BROWN
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Credential |
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Telephone | 678-391-0140
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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 |
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