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General NPI Number Information
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NPI Number | 1972928554
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Entity Type | Individual
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Provider Name | MRS. TINA R. ALBRITTON
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Gender | Female
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 7575 WEST US HIGHWAY 326
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City | OCALA
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State | FL
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Zip | 34482
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Country | US
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Telephone | 352-624-3447
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Fax |
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Provider Business Mailing Address
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Address Line | 7575 W. HWY 326
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City | OCALA
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State | FL
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Zip | 34482
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Country | US
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Telephone | 352-624-3447
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Fax | 352-624-2505
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 000858400
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 000858400
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 000858400
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number | 000858400
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number | 000858400
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License Number State | FL
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