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General NPI Number Information
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NPI Number | 1891934139
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Entity Type | Organization
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Legal Business Name | ADVANTAGE PRIVATE NURSING SERVICES OF FL, INC.
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 02/10/2009
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Provider Practice Location Address
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Address Line | 8300 COLLEGE PKWY SUITE 204
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City | FORT MYERS
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State | FL
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Zip | 33919-4104
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Country | US
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Telephone | 239-267-1845
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Fax | 239-267-1895
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Provider Business Mailing Address
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Address Line | 8300 COLLEGE PKWY SUITE 204
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City | FORT MYERS
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State | FL
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Zip | 33919-4104
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Country | US
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Telephone | 239-267-1845
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Fax | 239-267-1895
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR
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Name | MRS. MELANIE A SPENCER
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Credential |
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Telephone | 239-267-1845
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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 | HHA 299993217
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License Number State | FL
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