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General NPI Number Information
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NPI Number | 1912203597
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Entity Type | Organization
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Legal Business Name | SOUTHERN HOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 3665 BEE RIDGE RD SUITE NO. 110, EXECUTIVE CENTER
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City | SARASOTA
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State | FL
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Zip | 34233-1054
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Country | US
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Telephone | 941-366-8445
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Fax |
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Provider Business Mailing Address
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Address Line | 9901 LINN STATION RD
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City | LOUISVILLE
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State | KY
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Zip | 40223-3808
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Country | US
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Telephone | 800-866-0860
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Fax |
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Authorized Official
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Title or Position | PRIVACY OFFICER
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Name | MS. DEENA OMBRES
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Credential |
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Telephone | 502-394-2387
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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 |
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License Number State |
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