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General NPI Number Information
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NPI Number | 1205493343
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Entity Type | Organization
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Legal Business Name | ANEKE, INC
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 31733 BAYMONT LOOP
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-8156
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Country | US
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Telephone | 813-606-0488
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Fax | 813-428-6689
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Provider Business Mailing Address
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Address Line | 31733 BAYMONT LOOP
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City | WESLEY CHAPEL
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State | FL
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Zip | 33543-8156
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Country | US
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Telephone | 813-606-0488
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Fax | 813-428-6689
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Authorized Official
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Title or Position | OWNER
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Name | MS. LAVONDA MOORE HARGROVE
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Credential |
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Telephone | 813-606-0488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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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 | 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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Taxonomy #3
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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