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General NPI Number Information
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NPI Number | 1871951640
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Entity Type | Organization
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Legal Business Name | HOMECARE DIMENSIONS OF FLORIDA INC.
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Dates
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Enumeration Date | 02/08/2016
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Last Update Date | 02/08/2016
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Provider Practice Location Address
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Address Line | 8380 BAYMEADOWS RD STE 12
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City | JACKSONVILLE
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State | FL
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Zip | 32256-7435
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Country | US
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Telephone | 210-696-2626
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Fax | 210-696-9987
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Provider Business Mailing Address
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Address Line | 12500 NETWORK BLVD STE 210
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City | SAN ANTONIO
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State | TX
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Zip | 78249-3307
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Country | US
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Telephone | 210-696-2626
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Fax | 210-696-9987
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN PATRICK OLIVAS
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Credential |
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Telephone | 210-696-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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Taxonomy #3
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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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