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General NPI Number Information
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NPI Number | 1952316325
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Entity Type | Organization
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Legal Business Name | FEDERAL HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8890 W OAKLAND PARK BLVD SUITE 200
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City | SUNRISE
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State | FL
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Zip | 33351-7235
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Country | US
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Telephone | 954-733-2220
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Fax | 954-733-2558
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Provider Business Mailing Address
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Address Line | PO BOX 1956
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City | HATTIESBURG
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State | MS
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Zip | 39403-1956
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Country | US
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Telephone | 601-544-2903
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Fax | 601-582-5241
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | WILFORD A PAYNE III
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Credential |
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Telephone | 601-544-2903
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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 | HHA20345096
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License Number State | FL
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