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General NPI Number Information
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NPI Number | 1124427596
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Entity Type | Organization
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Legal Business Name | KP CARE GROUP, INC
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 2505 THONOTOSASSA RD 108
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City | PLANT CITY
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State | FL
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Zip | 33563-1464
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Country | US
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Telephone | 813-365-3534
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Fax | 888-752-0242
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Provider Business Mailing Address
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Address Line | 2505 THONOTOSASSA RD #108
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City | PLANT CITY
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State | FL
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Zip | 33563-1464
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Country | US
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Telephone | 813-365-3534
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Fax | 888-752-0242
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Authorized Official
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Title or Position | PRESIDENT
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Name | ERIKA CARTER
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Credential |
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Telephone | 813-365-3534
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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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