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General NPI Number Information
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NPI Number | 1619140647
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Entity Type | Organization
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Legal Business Name | ALL STAT HOME HEALTH INC
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 8520 S TAMIAMI TRL SUITE 1
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City | SARASOTA
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State | FL
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Zip | 34238-3003
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Country | US
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Telephone | 941-923-0880
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Fax | 941-923-4738
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Provider Business Mailing Address
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Address Line | 8520 S TAMIAMI TRL SUITE 1
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City | SARASOTA
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State | FL
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Zip | 34238-3003
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Country | US
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Telephone | 941-923-0880
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Fax | 941-923-4738
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CARMEN R SCOMA
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Credential |
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Telephone | 941-923-0880
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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 | 2999991043
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License Number State | FL
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