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General NPI Number Information
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NPI Number | 1730872508
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Entity Type | Organization
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Legal Business Name | GIA FFF LLC
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Dates
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Enumeration Date | 05/30/2023
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 9442 BARNSTEAD LN
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City | PORT RICHEY
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State | FL
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Zip | 34668-4303
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Country | US
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Telephone | 727-505-9877
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Fax |
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Provider Business Mailing Address
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Address Line | 9442 BARNSTEAD LN
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City | PORT RICHEY
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State | FL
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Zip | 34668-4303
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Country | US
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Telephone | 727-505-9877
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RUSSELL GIRESI
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Credential | BA PSY
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Telephone | 727-505-9877
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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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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