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General NPI Number Information
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NPI Number | 1073905832
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Entity Type | Organization
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Legal Business Name | OPTIMAL PATIENT CARE OF THE NATURE COAST LLC
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 03/14/2022
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Provider Practice Location Address
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Address Line | 1310 - 3 NORTH BLVD
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City | LEESBURG
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State | FL
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Zip | 34748
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Country | US
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Telephone | 352-414-5901
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Fax | 352-493-9682
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Provider Business Mailing Address
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Address Line | 1310 - 3 NORTH BLVD
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City | LEESBURG
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State | FL
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Zip | 34748
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Country | US
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Telephone | 352-414-5901
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Fax | 352-493-9682
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ARTHUR BARLAAN
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Credential |
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Telephone | 813-918-0611
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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 | 299993072
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License Number State | FL
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