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General NPI Number Information
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NPI Number | 1861214256
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Entity Type | Organization
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Legal Business Name | AVEON HOMECARE
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 4473 MISTY DAWN COURT SOUTH
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City | JACKSONVILLE
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State | FL
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Zip | 32277-3227
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Country | US
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Telephone | 904-234-7216
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Fax |
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Provider Business Mailing Address
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Address Line | 4473 MISTY DAWN COURT SOUTH
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City | JACKSONVILLE
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State | FL
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Zip | 32277-1388
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Country | US
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Telephone | 904-234-7216
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Fax |
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Authorized Official
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Title or Position | RN
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Name | OLIVE ANN NELSON
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Credential | RN
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Telephone | 904-234-7216
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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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