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General NPI Number Information
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NPI Number | 1023318706
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Entity Type | Organization
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Legal Business Name | PATHFINDERS FOR INDEPENDENCE, INC
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Dates
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Enumeration Date | 10/27/2010
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Last Update Date | 10/27/2010
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Provider Practice Location Address
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Address Line | 18418 TIMBERLAN DR
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City | LUTZ
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State | FL
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Zip | 33549-5829
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Country | US
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Telephone | 813-949-4313
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Fax |
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Provider Business Mailing Address
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Address Line | 18418 TIMBERLAN DR
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City | LUTZ
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State | FL
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Zip | 33549-5829
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Country | US
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Telephone | 813-949-4313
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/EXECUTIVE DIRECTOR
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Name | BERYL R BROWN
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Credential |
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Telephone | 813-949-4313
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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 | 253Z00000X
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License Number State | FL
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