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General NPI Number Information
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NPI Number | 1104220706
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Entity Type | Organization
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Legal Business Name | CARINGTAN CARE INC
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Dates
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Enumeration Date | 10/10/2014
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Last Update Date | 10/10/2014
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Provider Practice Location Address
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Address Line | 9761 CARLSDALE DR
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City | RIVERVIEW
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State | FL
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Zip | 33578-3811
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Country | US
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Telephone | 813-562-8150
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 552
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City | RIVERVIEW
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State | FL
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Zip | 33568-0552
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEKICHA WOODS
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Credential |
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Telephone | 813-562-8150
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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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