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General NPI Number Information
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NPI Number | 1225312531
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Entity Type | Organization
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Legal Business Name | CONFIDENTIAL CARE SERVICES, LLC
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Dates
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Enumeration Date | 10/05/2011
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Last Update Date | 10/05/2011
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Provider Practice Location Address
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Address Line | 20733 CHESTNUT ST
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City | DUNNELLON
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State | FL
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Zip | 34431-6701
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Country | US
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Telephone | 352-465-1693
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Fax | 352-465-1694
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Provider Business Mailing Address
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Address Line | 20733 CHESTNUT ST
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City | DUNNELLON
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State | FL
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Zip | 34431-6701
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Country | US
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Telephone | 352-465-1693
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Fax | 352-465-1694
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CHERYN KINCAID
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Credential |
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Telephone | 352-465-1693
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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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