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General NPI Number Information
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NPI Number | 1740584937
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Entity Type | Organization
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Legal Business Name | HOME FORCE GROUP INC
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Dates
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Enumeration Date | 01/02/2011
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Last Update Date | 01/02/2011
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Provider Practice Location Address
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Address Line | 1905 E 137TH AVE UNIT A
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City | TAMPA
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State | FL
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Zip | 33613-4308
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Country | US
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Telephone | 813-966-4954
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Fax | 813-972-1314
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Provider Business Mailing Address
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Address Line | 8870 N HIMES AVE SUITE 334
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City | TAMPA
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State | FL
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Zip | 33614-1627
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Country | US
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Telephone | 813-966-4954
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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. OLAF MUHAMMUD ROBERTS
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Credential |
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Telephone | 813-966-4954
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | AL10502
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License Number State | FL
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