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General NPI Number Information
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NPI Number | 1831057629
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Entity Type | Organization
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Legal Business Name | GREAT HORNED OWL CARE SERVICES LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 7920 ROUNDELAY DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-6358
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Country | US
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Telephone | 727-514-4341
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Fax |
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Provider Business Mailing Address
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Address Line | 7920 ROUNDELAY DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34654-6358
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Country | US
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Telephone | 727-514-4341
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. SCOTT THOMAS MITCHELL
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Credential |
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Telephone | 727-514-4341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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