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General NPI Number Information
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NPI Number | 1972218881
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Entity Type | Organization
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Legal Business Name | HAPPYFEET PERSONAL CARE
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Dates
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Enumeration Date | 01/16/2023
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Last Update Date | 01/16/2023
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Provider Practice Location Address
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Address Line | 1106 THOMASVILLE RD STE J
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City | TALLAHASSEE
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State | FL
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Zip | 32303-6276
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Country | US
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Telephone | 850-273-5888
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Fax | 850-807-5060
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Provider Business Mailing Address
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Address Line | 1106 THOMASVILLE RD STE J
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City | TALLAHASSEE
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State | FL
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Zip | 32303-6276
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Country | US
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Telephone | 850-273-5888
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Fax | 850-807-5060
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BRANDI YVONNE THOMPSON
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Credential |
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Telephone | 850-278-5888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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