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General NPI Number Information
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NPI Number | 1275760225
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Entity Type | Organization
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Legal Business Name | ELDERCARE MANAGEMENT & CONSULTING, LLC
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 2510 MICCOSUKEE RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5473
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Country | US
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Telephone | 850-877-1992
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Fax | 850-201-8830
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Provider Business Mailing Address
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Address Line | PO BOX 14023
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City | TALLAHASSEE
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State | FL
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Zip | 32317-4023
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Country | US
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Telephone | 850-877-1992
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Fax | 850-201-8830
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Authorized Official
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Title or Position | OWNER
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Name | MS. JUDITH ANTIN CROWLEY
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Credential | LCSW
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Telephone | 850-877-1992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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