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General NPI Number Information
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NPI Number | 1891987749
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Entity Type | Organization
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Legal Business Name | HOME FIRST COMPREHENSIVE FAMILY SERVICES, INC
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 379 W ALFRED ST
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City | TAVARES
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State | FL
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Zip | 32778-3270
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Country | US
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Telephone | 352-253-2334
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Fax |
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Provider Business Mailing Address
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Address Line | 3759 BLUE CROWN LN
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City | EUSTIS
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State | FL
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Zip | 32736-2249
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Country | US
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Telephone | 352-253-2334
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Fax | 352-253-2334
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. TONYA OLIVER
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Credential |
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Telephone | 352-483-2287
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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 | 230074
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License Number State | FL
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