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General NPI Number Information
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NPI Number | 1992128250
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Entity Type | Organization
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Legal Business Name | BIRDSONG VENTURES, INC
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 1845 COLLIER PKWY
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City | LUTZ
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State | FL
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Zip | 33549-8718
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Country | US
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Telephone | 813-446-8027
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Fax |
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Provider Business Mailing Address
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Address Line | 4917 EHRLICH RD SUITE 102
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City | TAMPA
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State | FL
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Zip | 33624-2005
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Country | US
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Telephone | 813-343-0272
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. ARTHUR M MOSELEY JR.
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Credential |
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Telephone | 813-343-0272
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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 | 30211139
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License Number State | FL
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