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General NPI Number Information
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NPI Number | 1568929909
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Entity Type | Organization
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Legal Business Name | RESIDENT HOME CARE LLC
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Dates
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Enumeration Date | 02/21/2019
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 5901 US HIGHWAY 19 STE 5
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2940
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Country | US
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Telephone | 727-869-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 US HIGHWAY 19 STE 7
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2940
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Country | US
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Telephone | 727-869-9700
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. JOHN J ROSS
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Credential | PHD
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Telephone | 727-247-7637
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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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