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General NPI Number Information
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NPI Number | 1134690266
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Entity Type | Organization
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Legal Business Name | CARDINAL COMPANIONS CARE LLC
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Dates
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Enumeration Date | 12/16/2018
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 14333 BEACH BLVD
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City | JACKSONVILLE
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State | FL
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Zip | 32250-1581
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Country | US
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Telephone | 888-336-2198
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Fax | 888-336-2198
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Provider Business Mailing Address
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Address Line | 7901 4TH ST N # 25649
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City | ST PETERSBURG
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State | FL
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Zip | 33702-4305
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Country | US
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Telephone | 317-851-0787
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Fax | 888-336-2198
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Authorized Official
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Title or Position | OWNER
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Name | MS. SILVA T SANDERS
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Credential |
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Telephone | 317-851-0787
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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 |
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License Number State |
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