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General NPI Number Information
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NPI Number | 1033378666
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Entity Type | Organization
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Legal Business Name | CARE 4U HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 06/09/2008
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 2125 VICTORIA AVE STE 3
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City | FORT MYERS
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State | FL
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Zip | 33901-3733
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Country | US
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Telephone | 239-334-1517
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Fax | 239-334-4547
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Provider Business Mailing Address
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Address Line | 2125 VICTORIA AVE SUITE 3
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City | FORT MYERS
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State | FL
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Zip | 33901-3733
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Country | US
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Telephone | 239-334-1517
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Fax | 239-334-4547
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Authorized Official
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Title or Position | ADMIINISTRATOR
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Name | LAZARO DELGADO ALVAREZ
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Credential | RN
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Telephone | 239-334-1517
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299993104
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License Number State | FL
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