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General NPI Number Information
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NPI Number | 1215812383
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Entity Type | Organization
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Legal Business Name | ALWAYS GENTLE HOME CARE - VOLUSIA LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 280 DIRKSEN DR UNIT B
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City | DEBARY
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State | FL
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Zip | 32713-4011
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Country | US
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Telephone | 386-259-3700
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Fax | 386-259-3734
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Provider Business Mailing Address
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Address Line | 4300 W LAKE MARY BLVD UNIT 1010-380
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City | LAKE MARY
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State | FL
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Zip | 32746-2060
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Country | US
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Telephone | 386-259-3700
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Fax | 386-259-3734
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Authorized Official
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Title or Position | CFO
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Name | MR. RICHARD E JIMENEZ
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Credential |
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Telephone | 407-233-9292
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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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