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General NPI Number Information
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NPI Number | 1780096487
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Entity Type | Organization
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Legal Business Name | EMBRACING CONCEPTS
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 05/29/2014
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Provider Practice Location Address
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Address Line | 9602 SEAVIEW DR APT 104
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City | LEESBURG
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State | FL
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Zip | 34788-7698
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Country | US
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Telephone | 352-434-9704
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Fax | 352-787-8994
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Provider Business Mailing Address
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Address Line | 9602 SEAVIEW DR APT 104
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City | LEESBURG
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State | FL
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Zip | 34788-7698
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Country | US
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Telephone | 352-434-9704
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Fax | 352-787-8994
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TIFFANY HAYES HAYES
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Credential |
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Telephone | 352-434-9704
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 002411700
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License Number State | FL
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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 | 003176500
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License Number State | FL
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