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General NPI Number Information
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NPI Number | 1265081954
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Entity Type | Organization
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Legal Business Name | TRACEYS LOVING CARE, LLC
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Dates
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Enumeration Date | 09/05/2019
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 5006 TROUBLE CREEK RD STE 233
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4939
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Country | US
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Telephone | 877-510-2611
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Fax | 877-510-2611
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Provider Business Mailing Address
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Address Line | PO BOX 185
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City | TARPON SPRINGS
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State | FL
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Zip | 34688-0185
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Country | US
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Telephone | 727-326-2211
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TRACEY A HENDRIX
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Credential |
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Telephone | 727-326-1111
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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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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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