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General NPI Number Information
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NPI Number | 1972806032
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Entity Type | Organization
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Legal Business Name | AWESOME HOME CARE, INC.
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Dates
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Enumeration Date | 12/13/2010
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Last Update Date | 01/14/2013
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Provider Practice Location Address
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Address Line | 7310 STATE ROAD 52
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City | HUDSON
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State | FL
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Zip | 34667-6711
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Country | US
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Telephone | 727-478-8550
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Fax | 727-478-8551
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Provider Business Mailing Address
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Address Line | 7310 STATE ROAD 52
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City | HUDSON
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State | FL
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Zip | 34667-6711
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Country | US
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Telephone | 727-478-8550
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Fax | 727-478-8551
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LYN C. ZAMORSKI
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Credential | RN
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Telephone | 727-478-8550
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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 | 231989
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License Number State | FL
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