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General NPI Number Information
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NPI Number | 1982037461
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Entity Type | Organization
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Legal Business Name | AFFINITY HOME CARE AGENCY, INC.
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Dates
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Enumeration Date | 08/20/2013
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 1584 METROPOLITAN BLVD STE 101
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City | TALLAHASSEE
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State | FL
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Zip | 32308
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Country | US
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Telephone | 850-765-5241
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Fax | 360-933-2951
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Provider Business Mailing Address
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Address Line | 1584 METROPOLITAN BLVD STE 101
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City | TALLAHASSEE
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State | FL
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Zip | 32308-1701
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Country | US
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Telephone | 850-765-5241
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RODGER LAMAR JONSON
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Credential |
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Telephone | 850-765-5241
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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 | 232545
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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