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General NPI Number Information
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NPI Number | 1104433523
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Entity Type | Organization
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Legal Business Name | INFINITY HOME CARE PLUS OF FLORIDA, INC
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 1450 BAYSHORE DR
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City | ENGLEWOOD
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State | FL
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Zip | 34223-4613
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Country | US
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Telephone | 941-525-6446
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Fax | 317-825-3117
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Provider Business Mailing Address
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Address Line | 1450 BAYSHORE DR
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City | ENGLEWOOD
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State | FL
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Zip | 34223-4613
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Country | US
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Telephone | 941-525-6446
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Fax | 317-825-3117
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | KATHLEEN A WALDSCHMIDT
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Credential |
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Telephone | 941-525-6446
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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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