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General NPI Number Information
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NPI Number | 1912025131
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Entity Type | Organization
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Legal Business Name | INTERIM HEALTHCARE PRIVATE SERVICES, INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 2010 NE 14TH ST BUILDING 100
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City | OCALA
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State | FL
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Zip | 34470-7740
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Country | US
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Telephone | 352-351-5040
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Fax | 352-351-5140
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Provider Business Mailing Address
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Address Line | 2010 NE 14TH STREET BUILDING 100
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City | OCALA
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State | FL
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Zip | 34471
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Country | US
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Telephone | 352-351-5040
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Fax | 352-351-5140
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | EDWARD F. BIXBY JR.
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Credential |
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Telephone | 352-326-3800
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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 | 20576096
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License Number State | FL
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