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General NPI Number Information
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NPI Number | 1881771707
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Entity Type | Organization
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Legal Business Name | FAITH HOME HEALTH,INC
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/29/2012
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Provider Practice Location Address
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Address Line | 7505 S GADSDEN STREET, SUITE 200
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City | TALLAHASSEE
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State | FL
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Zip | 32301
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Country | US
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Telephone | 850-727-8090
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Fax | 850-727-8093
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Provider Business Mailing Address
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Address Line | 3202 N HOWARD AVE
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City | TAMPA
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State | FL
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Zip | 33607-1614
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Country | US
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Telephone | 850-727-8090
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Fax | 850-727-8093
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Authorized Official
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Title or Position | CEO
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Name | CELINA OKPALEKE
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Credential |
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Telephone | 850-875-4188
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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 | 299992264
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License Number State | FL
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