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General NPI Number Information
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NPI Number | 1134066640
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Entity Type | Organization
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Legal Business Name | NEW PHASES GC COMPANION SERVICES LLC
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Dates
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Enumeration Date | 05/01/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 104 E JERSEY RD # 104
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City | LEHIGH ACRES
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State | FL
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Zip | 33936-6330
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Country | US
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Telephone | 516-412-1000
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Fax | 516-412-1000
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Provider Business Mailing Address
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Address Line | 104 E JERSEY RD # 104
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City | LEHIGH ACRES
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State | FL
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Zip | 33936-6330
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Country | US
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Telephone | 516-412-1000
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Fax | 516-412-1000
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Authorized Official
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Title or Position | OWNER / ADMINISTRATOR
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Name | RAMLA MCDONALD
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Credential |
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Telephone | 516-412-1000
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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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