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General NPI Number Information
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NPI Number | 1174784631
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Entity Type | Organization
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Legal Business Name | FIRST IN CARE HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 4900 MANATEE AVE W
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City | BRADENTON
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State | FL
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Zip | 34209
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Country | US
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Telephone | 941-746-8400
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Fax | 941-746-8466
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Provider Business Mailing Address
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Address Line | 3027 MANATEE AVE SUITE C
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City | BRADENTON
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State | FL
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Zip | 34205-4200
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Country | US
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Telephone | 941-746-8400
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Fax | 941-746-8466
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN LAWRENCE BRESNICK
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Credential |
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Telephone | 941-746-8400
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 299992454
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 299992454
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 299992454
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NULL
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