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General NPI Number Information
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NPI Number | 1578899936
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Entity Type | Organization
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Legal Business Name | FLORIDA CHOICE HOME CARE, LLC
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Dates
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Enumeration Date | 10/20/2009
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Last Update Date | 10/20/2009
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Provider Practice Location Address
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Address Line | 117 W ALEXANDER ST # 346
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City | PLANT CITY
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State | FL
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Zip | 33563-7155
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Country | US
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Telephone | 727-688-4177
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Fax |
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Provider Business Mailing Address
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Address Line | 117 W ALEXANDER ST # 346
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City | PLANT CITY
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State | FL
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Zip | 33563-7155
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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 | VP OF OPERATIONS
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Name | MRS. MARY A GAUDET
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Credential |
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Telephone | 727-688-4177
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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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