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General NPI Number Information
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NPI Number | 1992338040
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Entity Type | Organization
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Legal Business Name | SISTER 2 SISTER HOME CARE
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Dates
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Enumeration Date | 02/18/2020
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Last Update Date | 04/17/2023
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Provider Practice Location Address
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Address Line | 3880 S WASHINGTON AVE STE 246
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City | TITUSVILLE
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State | FL
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Zip | 32780-5854
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Country | US
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Telephone | 321-805-6622
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Fax | 321-567-5948
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Provider Business Mailing Address
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Address Line | 3880 S WASHINGTON AVE STE 246
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City | TITUSVILLE
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State | FL
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Zip | 32780-5854
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Country | US
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Telephone | 321-507-6944
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Fax | 321-567-5948
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Authorized Official
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Title or Position | CEO
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Name | MRS. URHALA M WILLIAMS
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Credential | CEO
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Telephone | 321-507-6944
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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 |
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License Number State |
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