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General NPI Number Information
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NPI Number | 1710378351
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Entity Type | Organization
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Legal Business Name | ESCORBIS INC
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Dates
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Enumeration Date | 02/17/2015
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Last Update Date | 02/17/2015
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Provider Practice Location Address
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Address Line | 11313 POSSUM TRL
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City | PORT RICHEY
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State | FL
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Zip | 34668-2040
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Country | US
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Telephone | 813-507-2195
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Fax | 727-857-7413
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Provider Business Mailing Address
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Address Line | 11313 POSSUM TRL
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City | PORT RICHEY
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State | FL
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Zip | 34668-2040
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Country | US
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Telephone | 813-507-2195
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Fax | 727-857-7413
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. FRANCINE CHERY
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Credential |
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Telephone | 727-857-7413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 232404
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 6906648
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License Number State | FL
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