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General NPI Number Information
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NPI Number | 1881086981
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Entity Type | Organization
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Legal Business Name | SINGLETARY HOMEMAKER COMPANION SVC. INC.
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Dates
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Enumeration Date | 02/26/2015
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Last Update Date | 02/26/2015
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Provider Practice Location Address
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Address Line | 244 W 54TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32208-4602
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Country | US
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Telephone | 904-422-6732
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Fax | 904-683-0546
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Provider Business Mailing Address
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Address Line | 244 W 54TH ST
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City | JACKSONVILLE
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State | FL
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Zip | 32208-4602
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Country | US
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Telephone | 904-422-6732
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Fax | 904-683-0546
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. AUDRA ALTAMESE SINGLETARY
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Credential |
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Telephone | 904-422-6732
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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 | 233239
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License Number State | FL
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