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General NPI Number Information
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NPI Number | 1649685256
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Entity Type | Individual
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Provider Name | MARCEDA WELCOME
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Gender | Female
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 17073 S.W. 127TH PLACE
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City | ARCHER
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State | FL
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Zip | 32618
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Country | US
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Telephone | 352-225-2035
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Fax | 352-335-6438
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Provider Business Mailing Address
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Address Line | PO BOX 1244
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City | ARCHER
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State | FL
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Zip | 32618-1244
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Country | US
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Telephone | 352-225-2035
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Fax | 352-335-6438
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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