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General NPI Number Information
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NPI Number | 1164115192
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Entity Type | Organization
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Legal Business Name | 3 CARES LLC
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 4760 8TH AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33711-1810
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Country | US
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Telephone | 727-601-3916
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Fax |
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Provider Business Mailing Address
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Address Line | 5624 30TH AVE S
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City | GULFPORT
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State | FL
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Zip | 33707-5715
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Country | US
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Telephone | 727-601-3916
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANNA LYMONOVA
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Credential |
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Telephone | 727-601-3916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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