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General NPI Number Information
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NPI Number | 1811095268
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Entity Type | Organization
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Legal Business Name | TOTAL SENIOR HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/28/2011
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Provider Practice Location Address
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Address Line | 12800 UNIVERSITY DR SUITE 335
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City | FORT MYERS
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State | FL
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Zip | 33907-5332
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Country | US
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Telephone | 239-390-2032
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Fax | 239-495-0628
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Provider Business Mailing Address
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Address Line | 12800 UNIVERSITY DR SUITE 335
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City | FORT MYERS
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State | FL
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Zip | 33907-5332
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Country | US
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Telephone | 239-390-2032
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Fax | 239-495-0628
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Authorized Official
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Title or Position | CEO
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Name | THOMAS W REED
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Credential |
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Telephone | 239-444-6014
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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 | 108260
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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 | 299992229
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License Number State | FL
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