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General NPI Number Information
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NPI Number | 1699393306
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Entity Type | Organization
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Legal Business Name | MARK DEES ENTERPRISES INC.
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 5889 S WILLIAMSON BLVD STE 1415
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City | PORT ORANGE
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State | FL
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Zip | 32128-7498
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Country | US
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Telephone | 386-400-5295
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Fax |
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Provider Business Mailing Address
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Address Line | 5889 S WILLIAMSON BLVD STE 1415
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City | PORT ORANGE
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State | FL
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Zip | 32128-7498
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Country | US
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Telephone | 386-400-5295
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MR. ANDREW CLIFTON DEES
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Credential |
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Telephone | 619-929-1482
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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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