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General NPI Number Information
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NPI Number | 1679840185
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Entity Type | Organization
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Legal Business Name | GENESIS HOME HEALTH CARE SERVICES OF CENTRAL FLORIDA LLC
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/29/2011
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Provider Practice Location Address
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Address Line | 5104 N ORANGE BLOSSOM TRL STE 208
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City | ORLANDO
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State | FL
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Zip | 32810-1016
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Country | US
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Telephone | 321-262-8235
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Fax | 407-369-7249
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Provider Business Mailing Address
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Address Line | 5104 N ORANGE BLOSSOM TRL STE 208
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City | ORLANDO
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State | FL
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Zip | 32810-1016
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Country | US
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Telephone | 321-262-8235
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Fax | 407-369-7249
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Authorized Official
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Title or Position | ADMINISTRATOR/CEO
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Name | MR. GARVIN N MARK
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Credential |
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Telephone | 321-262-8235
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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 |
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License Number State |
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