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General NPI Number Information
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NPI Number | 1275477317
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Entity Type | Organization
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Legal Business Name | MANSFIELDCARE LLC
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Dates
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Enumeration Date | 04/17/2026
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Last Update Date | 04/17/2026
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Provider Practice Location Address
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Address Line | 1606 NW 14TH CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33311-5317
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Country | US
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Telephone | 754-204-8776
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Fax |
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Provider Business Mailing Address
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Address Line | 1606 NW 14TH CT
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City | FORT LAUDERDALE
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State | FL
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Zip | 33311-5317
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Country | US
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Telephone | 754-204-8776
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. TANNIO KARINE COX
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Credential |
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Telephone | 754-204-8776
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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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