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General NPI Number Information
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NPI Number | 1790827616
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Entity Type | Organization
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Legal Business Name | PEACE, INC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 7411 114TH AVE STE 306
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City | LARGO
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State | FL
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Zip | 33773-5108
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Country | US
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Telephone | 727-259-2337
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Fax | 727-772-7701
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Provider Business Mailing Address
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Address Line | 7411 114TH AVE STE 306
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City | LARGO
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State | FL
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Zip | 33773-5108
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Country | US
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Telephone | 727-259-2337
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Fax | 727-772-7707
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Authorized Official
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Title or Position | CEO
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Name | MRS. STACEY FUHRMAN
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Credential | RN
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Telephone | 727-259-2337
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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 | HHA299991732
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License Number State | FL
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