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General NPI Number Information
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NPI Number | 1588612857
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Entity Type | Organization
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Legal Business Name | FLORIDA HOME BOUND MENTAL HEALTH AGENCY INC.
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 05/25/2011
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Provider Practice Location Address
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Address Line | 1400 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-6034
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Country | US
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Telephone | 305-892-7272
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Fax | 305-892-2554
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Provider Business Mailing Address
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Address Line | 1400 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-6034
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Country | US
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Telephone | 305-892-7272
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Fax | 305-892-2554
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. CAROL JOY BIGGS-OWENS
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Credential | RN, MS
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Telephone | 305-892-7272
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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 | 299991076
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License Number State | FL
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