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General NPI Number Information
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NPI Number | 1235431545
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Entity Type | Organization
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Legal Business Name | EXTENDED HANDS LIFECARE LLC
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 800 WESTWOOD SQ SUITE E
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City | OVIEDO
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State | FL
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Zip | 32765-8849
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Country | US
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Telephone | 407-278-4570
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Fax | 321-348-9515
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Provider Business Mailing Address
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Address Line | 800 WESTWOOD SQ SUITE E
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City | OVIEDO
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State | FL
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Zip | 32765-8849
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Country | US
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Telephone | 407-278-4570
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Fax | 321-348-9515
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. DAVID R KISER
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Credential |
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Telephone | 407-278-4570
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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 |
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