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General NPI Number Information
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NPI Number | 1871870972
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Entity Type | Organization
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Legal Business Name | HOME HEALTH OF CENTRAL FLORIDA, INC.
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Dates
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Enumeration Date | 11/03/2011
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Last Update Date | 11/09/2011
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Provider Practice Location Address
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Address Line | 1350 TENNESSEE AVE SUITE E
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City | SAINT CLOUD
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State | FL
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Zip | 34769-4139
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Country | US
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Telephone | 863-576-7570
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Fax |
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Provider Business Mailing Address
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Address Line | 1350 TENNESSEE AVE SUITE E
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City | SAINT CLOUD
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State | FL
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Zip | 34769-4139
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Country | US
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Telephone | 863-576-7570
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. DAIRA PARRA
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Credential | L.P.N.
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Telephone | 863-576-7570
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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 | PN1231201
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License Number State | FL
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