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General NPI Number Information
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NPI Number | 1033886767
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Entity Type | Organization
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Legal Business Name | CSN&N HOMECARE LLC
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Dates
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Enumeration Date | 08/30/2021
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Last Update Date | 08/30/2021
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Provider Practice Location Address
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Address Line | 2431 ALOMA AVE
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 407-603-9977
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Fax | 407-603-9977
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Provider Business Mailing Address
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Address Line | 477 CARDINAL CT
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City | POINCIANA
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State | FL
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Zip | 34759-4440
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Country | US
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Telephone | 407-860-6178
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Fax | 407-603-9977
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Authorized Official
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Title or Position | ONWER/CEO
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Name | LAGREGVONTAE Q MCCLAIN
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Credential | LPN
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Telephone | 407-860-6178
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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 |
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License Number State |
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