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General NPI Number Information
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NPI Number | 1073052304
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Entity Type | Organization
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Legal Business Name | BOUNDLESS SERVICES FOR YOU
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 01/19/2020
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Provider Practice Location Address
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Address Line | 1806 NE 33RD ST
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City | CAPE CORAL
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State | FL
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Zip | 33909-7346
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Country | US
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Telephone | 239-628-0301
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Fax | 850-757-0091
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Provider Business Mailing Address
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Address Line | 1325 SE 47TH ST UNIT H
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City | CAPE CORAL
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State | FL
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Zip | 33904-9692
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Country | US
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Telephone | 239-628-0301
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Fax | 850-757-0091
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Authorized Official
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Title or Position | PRESIDENT/ADMIN
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Name | MIGDALINA LINARES LOPEZ
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Credential | OWNER
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Telephone | 239-628-0301
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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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