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General NPI Number Information
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NPI Number | 1861041428
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Entity Type | Organization
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Legal Business Name | DAVIS FAMILY HOME CARE LLC
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Dates
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Enumeration Date | 09/06/2019
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2957 CAPITAL PARK DR STE 4
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City | TALLAHASSEE
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State | FL
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Zip | 32301-3450
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Country | US
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Telephone | 850-851-6745
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Fax |
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Provider Business Mailing Address
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Address Line | 133 BURKS LN
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City | TALLAHASSEE
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State | FL
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Zip | 32304-8328
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Country | US
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Telephone | 850-851-6745
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Fax | 850-656-1747
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Authorized Official
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Title or Position | OWNER
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Name | SANIECIA DAVIS
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Credential |
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Telephone | 850-851-6745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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