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General NPI Number Information
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NPI Number | 1184313975
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Entity Type | Organization
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Legal Business Name | WONDER CARE, L.L.C
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Dates
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Enumeration Date | 05/05/2023
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Last Update Date | 08/26/2023
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Provider Practice Location Address
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Address Line | 10204 SABAL TREE DR APT 301
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City | RIVERVIEW
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State | FL
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Zip | 33578-3067
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Country | US
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Telephone | 813-595-5062
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Fax |
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Provider Business Mailing Address
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Address Line | 10204 SABAL TREE DR APT 301
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City | RIVERVIEW
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State | FL
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Zip | 33578-3067
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Country | US
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Telephone | 813-595-5062
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. SACHALY MENDEZ
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Credential |
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Telephone | 813-668-6968
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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 |
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License Number State |
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