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General NPI Number Information
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NPI Number | 1144035486
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Entity Type | Organization
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Legal Business Name | IMPECCABLE SENIORS CARE
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 5578 N ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32810-1033
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Country | US
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Telephone | 407-704-8212
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Fax | 407-704-5010
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Provider Business Mailing Address
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Address Line | 5578 N ORANGE BLOSSOM TRL
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City | ORLANDO
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State | FL
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Zip | 32810-1033
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Country | US
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Telephone | 407-704-8212
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Fax | 407-704-5010
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Authorized Official
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Title or Position | ADMINININISTOR
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Name | DORRIE ELIZABETH BENNETT
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Credential |
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Telephone | 407-766-3505
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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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