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General NPI Number Information
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NPI Number | 1922443456
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Entity Type | Organization
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Legal Business Name | RJ ENTERPRIZES
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Dates
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Enumeration Date | 05/10/2013
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Last Update Date | 05/10/2013
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Provider Practice Location Address
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Address Line | 12966 MORRIS BRIDGE RD LOT #10
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City | THONOTOSASSA
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State | FL
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Zip | 33592-2444
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Country | US
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Telephone | 813-468-1570
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Fax | 413-650-5595
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Provider Business Mailing Address
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Address Line | 12966 MORRIS BRIDGE RD LOT #10
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City | THONOTOSASSA
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State | FL
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Zip | 33592-2444
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Country | US
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Telephone | 813-468-1570
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Fax | 413-650-5595
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Authorized Official
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Title or Position | PERSONAL CARE ATTENDANT
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Name | MR. RAYMOND J GIROUX JR.
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Credential |
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Telephone | 813-468-1570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number | G620-730-55-254-0
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License Number State | FL
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