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General NPI Number Information
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NPI Number | 1275345936
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Entity Type | Organization
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Legal Business Name | DAILY BREAD MEALS LLC
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Dates
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Enumeration Date | 01/21/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 4856 VERACITY PT APT 212
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City | SANFORD
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State | FL
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Zip | 32771-7571
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Country | US
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Telephone | 267-343-6968
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Fax |
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Provider Business Mailing Address
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Address Line | 4856 VERACITY PT APT 212
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City | SANFORD
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State | FL
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Zip | 32771-7571
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Country | US
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Telephone | 267-343-6968
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CARMEN D BOSTIC
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Credential |
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Telephone | 267-343-6968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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