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General NPI Number Information
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NPI Number | 1912414665
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Entity Type | Organization
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Legal Business Name | PEOPLE 1ST HOME CARE LLC
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Dates
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Enumeration Date | 01/03/2018
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Last Update Date | 09/12/2019
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Provider Practice Location Address
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Address Line | 1336 CESERY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5315
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Country | US
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Telephone | 43-613-7829
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Fax | 800-785-7238
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Provider Business Mailing Address
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Address Line | 1336 CESERY BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5315
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Country | US
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Telephone | 904-361-3782
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | LATASHA DARDEN
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Credential |
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Telephone | 904-361-3782
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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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