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General NPI Number Information
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NPI Number | 1144538000
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Entity Type | Organization
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Legal Business Name | AMERI KARE, LLC
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Dates
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Enumeration Date | 09/14/2010
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Last Update Date | 09/14/2010
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Provider Practice Location Address
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Address Line | 2712 N EAST AVE
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City | PANAMA CITY
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State | FL
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Zip | 32405-7024
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Country | US
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Telephone | 850-640-0178
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Fax | 850-640-0248
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Provider Business Mailing Address
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Address Line | 653 W 23RD ST SUITE 297
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City | PANAMA CITY
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State | FL
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Zip | 32405-3922
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Country | US
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Telephone | 850-640-0178
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Fax | 850-640-0248
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MRS. GWENDOLYN B POTTER
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Credential |
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Telephone | 850-640-0178
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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 | 231164
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License Number State | FL
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