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General NPI Number Information
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NPI Number | 1891715710
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Entity Type | Organization
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Legal Business Name | ACTION HOME CARE INC.
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 12/13/2018
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Provider Practice Location Address
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Address Line | 1645 LAKELAND HILLS BLVD
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City | LAKELAND
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State | FL
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Zip | 33805-3025
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Country | US
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Telephone | 863-680-2273
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Fax | 863-687-3867
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Provider Business Mailing Address
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Address Line | PO BOX 2727
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City | LAKELAND
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State | FL
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Zip | 33806-2727
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Country | US
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Telephone | 863-680-2273
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Fax | 863-687-3867
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. HAZEL JEAN WRIGHT
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Credential | RN
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Telephone | 863-680-2273
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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 | 200780961
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License Number State | FL
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