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General NPI Number Information
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NPI Number | 1679934293
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Entity Type | Organization
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Legal Business Name | BEE HAPPY HOME CARE
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Dates
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Enumeration Date | 03/09/2016
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Last Update Date | 03/09/2016
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Provider Practice Location Address
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Address Line | 15151 S US HIGHWAY 441 UNIT 300
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City | SUMMERFIELD
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State | FL
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Zip | 34491-4482
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Country | US
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Telephone | 844-428-9987
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Fax |
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Provider Business Mailing Address
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Address Line | 15151 S US HIGHWAY 441 UNIT 300
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City | SUMMERFIELD
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State | FL
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Zip | 34491-4482
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Country | US
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Telephone | 844-428-9987
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JUSTIN RUSSELL FISCUS
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Credential | RN
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Telephone | 513-535-3284
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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 | 299994320
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License Number State | FL
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