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General NPI Number Information
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NPI Number | 1780912188
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Entity Type | Organization
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Legal Business Name | FLORIDA HH SERVICES LLC
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Dates
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Enumeration Date | 11/23/2009
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Last Update Date | 09/01/2016
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Provider Practice Location Address
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Address Line | 275 SOUTH US HWY 17-92 SUITE 102
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City | DEBARY
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State | FL
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Zip | 32713-3718
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Country | US
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Telephone | 386-668-4420
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Fax | 386-668-4450
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Provider Business Mailing Address
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Address Line | 275 SOUTH US HWY 17-92 SUITE 102
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City | DEBARY
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State | FL
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Zip | 32713-3718
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Country | US
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Telephone | 386-668-4420
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Fax | 386-668-4450
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Authorized Official
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Title or Position | MANAGER
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Name | MR. DELBERT SCOTT WOOD
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Credential |
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Telephone | 813-397-4101
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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 | 299993689
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License Number State | FL
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