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General NPI Number Information
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NPI Number | 1740715796
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Entity Type | Organization
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Legal Business Name | MAYO HOME HEALTH CARE CORP
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Dates
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Enumeration Date | 04/27/2017
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Last Update Date | 04/27/2017
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Provider Practice Location Address
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Address Line | 86 WINDRIDGE LN
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32413-2686
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Country | US
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Telephone | 305-731-4309
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Fax |
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Provider Business Mailing Address
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Address Line | 86 WINDRIDGE LN
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City | PANAMA CITY BEACH
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State | FL
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Zip | 32413
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Country | US
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Telephone | 305-731-4309
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Fax |
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Authorized Official
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Title or Position | TREA
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Name | YANET ANNIA REYES
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Credential | R.N.
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Telephone | 305-731-4309
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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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