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General NPI Number Information
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NPI Number | 1831445907
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Entity Type | Organization
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Legal Business Name | FLORIDA HOME COMPANION
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 620 N WYMORE RD SUITE 260
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City | MAITLAND
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State | FL
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Zip | 32751-4268
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Country | US
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Telephone | 407-478-5469
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Fax | 407-478-4099
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Provider Business Mailing Address
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Address Line | 620 N WYMORE RD SUITE 260
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City | MAITLAND
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State | FL
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Zip | 32751-4268
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Country | US
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Telephone | 407-478-5469
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Fax | 407-478-4099
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. ARCHIE OSSIN
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Credential | CFO
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Telephone | 407-478-5469
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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 | 30211467
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License Number State | FL
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