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General NPI Number Information
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NPI Number | 1841867579
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Entity Type | Organization
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Legal Business Name | FAMILY VALUES HOME CARE
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Dates
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Enumeration Date | 06/10/2021
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Last Update Date | 06/10/2021
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Provider Practice Location Address
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Address Line | 4313 W CR 466, SUITE A203
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City | OXFORD
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State | FL
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Zip | 34484
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Country | US
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Telephone | 352-571-4364
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Fax | 352-571-4376
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Provider Business Mailing Address
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Address Line | 4313 W CR 466, SUITE A203
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City | OXFORD
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State | FL
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Zip | 34484
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Country | US
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Telephone | 352-571-4364
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Fax | 352-571-4376
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Authorized Official
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Title or Position | CO- OWNER
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Name | ANDREW WILLIAMS
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Credential |
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Telephone | 352-571-4364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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