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General NPI Number Information
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NPI Number | 1023769254
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Entity Type | Organization
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Legal Business Name | BRE'S COMMUNITY CARE SERVICES INC.
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Dates
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Enumeration Date | 01/10/2022
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Last Update Date | 01/10/2022
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Provider Practice Location Address
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Address Line | 235 E 5TH ST STE 4
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City | APOPKA
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State | FL
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Zip | 32703-5315
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Country | US
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Telephone | 407-504-0189
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Fax | 321-256-6451
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Provider Business Mailing Address
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Address Line | 235 E 5TH ST STE 4
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City | APOPKA
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State | FL
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Zip | 32703-5315
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Country | US
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Telephone | 407-504-0189
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DOMINIQUE D JOHNSON
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Credential |
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Telephone | 407-504-0189
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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 | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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