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General NPI Number Information
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NPI Number | 1104762152
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Entity Type | Organization
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Legal Business Name | PROJECT 41 HOLDINGS LLC
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Dates
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Enumeration Date | 04/23/2026
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Last Update Date | 04/23/2026
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Provider Practice Location Address
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Address Line | 1046 NW 33RD PL
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City | CAPE CORAL
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State | FL
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Zip | 33993-9430
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Country | US
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Telephone | 239-722-4141
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Fax |
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Provider Business Mailing Address
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Address Line | 1046 NW 33RD PL
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City | CAPE CORAL
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State | FL
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Zip | 33993-9430
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Country | US
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Telephone | 239-722-4141
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARTINE MAZARD
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Credential |
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Telephone | 786-709-7344
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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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Taxonomy #2
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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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