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NPI 1629367719

NPI 1629367719 : EMBRACING CONCEPTS : LEESBURG, FL

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General NPI Number Information
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    NPI Number           |    1629367719
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMBRACING CONCEPTS 
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Dates
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    Enumeration Date     |    03/29/2011
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    Last Update Date     |    03/29/2011
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Provider Practice Location Address
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    Address Line         |    32432 QUIET HARBOR AVE UNIT 201
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    City                 |    LEESBURG
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    State                |    FL
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    Zip                  |    34788-8720
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    Country              |    US
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    Telephone            |    352-434-9704
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    Fax                  |    352-787-8994
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Provider Business Mailing Address
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    Address Line         |    32432 QUIET HARBOR AVE UNIT 201
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    City                 |    LEESBURG
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    State                |    FL
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    Zip                  |    34788-8720
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    Country              |    US
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    Telephone            |    352-434-9704
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    Fax                  |    352-787-8994
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. TIFFANY NICOLE JONES 
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    Credential           |    
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    Telephone            |    352-434-9704
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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       |    002411700
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    License Number State |    FL
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