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General NPI Number Information
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NPI Number | 1831147693
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HOME HEALTH SERVICES, INC
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 607 S MISSOURI AVE
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City | LAKELAND
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State | FL
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Zip | 33815-4735
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Country | US
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Telephone | 863-603-9777
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Fax | 863-603-9779
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Provider Business Mailing Address
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Address Line | PO BOX 93378
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City | LAKELAND
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State | FL
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Zip | 33804
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Country | US
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Telephone | 863-603-9777
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Fax | 863-603-9779
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. MARGALINE LAZARRE
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Credential | RN
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Telephone | 863-603-9777
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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 | FL299991465
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License Number State | FL
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