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General NPI Number Information
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NPI Number | 1851123178
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Entity Type | Organization
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Legal Business Name | 1 HOME CARE SERVICES
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Dates
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Enumeration Date | 08/15/2024
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 4700 MILLENIA BLVD STE 500
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City | ORLANDO
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State | FL
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Zip | 32839-6013
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Country | US
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Telephone | 887-227-3561
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 MILLENIA BLVD. STE 500 OFFICE 5108
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City | ORLANDO
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State | FL
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Zip | 32839
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Country | US
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Telephone | 887-227-3561
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. AMANDA CALISTI
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Credential |
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Telephone | 914-522-9341
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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 |
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License Number State |
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