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General NPI Number Information
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NPI Number | 1912320383
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Entity Type | Organization
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Legal Business Name | RIGHT SPIRIT HOMECARE,INC
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Dates
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Enumeration Date | 01/21/2014
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Last Update Date | 01/21/2014
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Provider Practice Location Address
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Address Line | 3368 MERCHANT TER
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City | DELTONA
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State | FL
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Zip | 32738
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Country | US
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Telephone | 386-532-9534
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Fax | 386-532-2857
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Provider Business Mailing Address
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Address Line | 3368 MERCHANT TER
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City | DELTONA
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State | FL
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Zip | 32738-5456
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Country | US
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Telephone | 386-532-9534
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Fax | 386-532-2857
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ESTRENETA CAMMOCK
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Credential |
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Telephone | 386-561-8175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | AL12243
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License Number State | FL
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