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General NPI Number Information
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NPI Number | 1578803094
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Entity Type | Organization
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Legal Business Name | ADVANCED HOME HEALTH INC
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Dates
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Enumeration Date | 02/20/2013
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 27661 CASHFORD CIR STE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6976
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Country | US
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Telephone | 813-994-2505
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Fax | 813-994-2501
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Provider Business Mailing Address
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Address Line | 27661 CASHFORD CIR SUITE 102
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6976
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Country | US
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Telephone | 813-994-2505
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Fax | 813-994-2501
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JAYME TIRADOR
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Credential |
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Telephone | 813-994-2505
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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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