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General NPI Number Information
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NPI Number | 1952728362
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Entity Type | Organization
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Legal Business Name | P & D COMPANION SERVICES
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Dates
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Enumeration Date | 03/24/2014
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 1555 DELANEY DR #1223
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City | TALLAHASSEE
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State | FL
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Zip | 32309-3418
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Country | US
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Telephone | 850-405-0545
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Fax |
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Provider Business Mailing Address
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Address Line | 1555 DELANEY DR #1223
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City | TALLAHASSEE
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State | FL
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Zip | 32309-3418
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Country | US
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Telephone | 850-405-0545
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. DEWANDA L SMITH
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Credential | AA
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Telephone | 850-405-0545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 229723
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License Number State | FL
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