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General NPI Number Information
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NPI Number | 1003358078
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Entity Type | Organization
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Legal Business Name | FLORIDA CAREGIVERS, INC.
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Dates
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Enumeration Date | 11/08/2016
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Last Update Date | 11/08/2016
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Provider Practice Location Address
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Address Line | 7647 W GULF TO LAKE HWY SUITE 1
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-7962
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Country | US
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Telephone | 352-795-7800
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Fax |
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Provider Business Mailing Address
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Address Line | 7647 W GULF TO LAKE HWY SUITE 1
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429-7962
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Country | US
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Telephone | 352-795-7800
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | KATHERINE A. TYRE
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Credential |
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Telephone | 352-795-7800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | NR30211698
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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 | NR30211698
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License Number State | FL
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