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General NPI Number Information
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NPI Number | 1619349800
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Entity Type | Organization
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Legal Business Name | HEAL AT HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 3200 SW 34TH AVE
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City | OCALA
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State | FL
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Zip | 34474-7456
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Country | US
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Telephone | 352-347-1111
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Fax | 352-415-3104
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Provider Business Mailing Address
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Address Line | 5955 RAND BLVD
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City | SARASOTA
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State | FL
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Zip | 34238-5160
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Country | US
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Telephone | 352-347-1111
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Fax | 352-415-3104
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Authorized Official
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Title or Position | CFO
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Name | SAIDA BOUHAMID
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Credential |
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Telephone | 941-552-7599
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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 | 21496096
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License Number State | FL
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