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General NPI Number Information
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NPI Number | 1164865267
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Entity Type | Organization
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Legal Business Name | CORPAS HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 04/09/2013
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 422 S KINGS AVE
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City | BRANDON
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State | FL
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Zip | 33511-5920
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Country | US
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Telephone | 941-894-1773
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Fax | 941-806-2150
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Provider Business Mailing Address
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Address Line | 5955 RAND BLVD
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City | SARASOTA
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State | FL
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Zip | 34238-5160
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Country | US
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Telephone | 941-552-7500
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SAIDA BOUHAMID
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Credential |
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Telephone | 941-552-7500
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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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