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General NPI Number Information
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NPI Number | 1992993646
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Entity Type | Organization
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Legal Business Name | ARDNAS HEALTH CARE SERVICES
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 10/09/2007
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Provider Practice Location Address
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Address Line | 150 SE 17TH ST STE 702
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City | OCALA
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State | FL
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Zip | 34471-5159
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Country | US
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Telephone | 352-342-9912
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Fax | 352-671-8031
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Provider Business Mailing Address
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Address Line | 150 SE 17TH ST STE 702
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City | OCALA
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State | FL
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Zip | 34471-5159
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Country | US
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Telephone | 352-342-9912
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Fax | 352-671-8031
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Authorized Official
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Title or Position | OWNER
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Name | SANDRA MOODY
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Credential | R.N., M.S.N
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Telephone | 352-342-9912
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 230087
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License Number State | FL
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