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General NPI Number Information
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NPI Number | 1134188816
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Entity Type | Organization
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Legal Business Name | UNITED HOME CARE SERVICES OF SOUTHWEST FLORIDA, LLC
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 06/17/2015
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Provider Practice Location Address
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Address Line | 10070 DANIELS INTERSTATE CT #130
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City | FORT MYERS
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State | FL
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Zip | 33913-7876
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Country | US
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Telephone | 239-278-3032
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Fax | 239-278-3780
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Provider Business Mailing Address
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Address Line | 10070 DANIELS INTERSTATE CT #130
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City | FORT MYERS
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State | FL
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Zip | 33913-7876
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Country | US
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Telephone | 239-278-3032
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Fax | 239-278-3780
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Authorized Official
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Title or Position | CFO
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Name | PATRICIA HEUBERGER
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Credential |
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Telephone | 561-381-7844
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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 | HHA299991516
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License Number State | FL
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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 | 299991516
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License Number State | FL
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