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General NPI Number Information
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NPI Number | 1023501145
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Entity Type | Organization
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Legal Business Name | SPECIAL CARE SERVICES, INC.
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 06/13/2018
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Provider Practice Location Address
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Address Line | 5100 SEAGRAPE DR
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City | FORT PIERCE
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State | FL
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Zip | 34982
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Country | US
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Telephone | 772-222-7301
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Fax | 866-371-0856
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Provider Business Mailing Address
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Address Line | 5100 SEAGRAPE DR
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City | FORT PIERCE
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State | FL
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Zip | 34982-7458
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Country | US
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Telephone | 772-222-7301
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Fax | 866-371-0856
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Authorized Official
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Title or Position | CEO
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Name | MRS. ROSE ANN CAMPELLONE
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Credential |
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Telephone | 772-222-7301
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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