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General NPI Number Information
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NPI Number | 1295479343
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Entity Type | Organization
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Legal Business Name | DYNASTY SENIOR CARE INC
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Dates
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Enumeration Date | 04/25/2022
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 7800 W SAND LAKE RD STE 210
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City | ORLANDO
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State | FL
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Zip | 32819-5198
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Country | US
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Telephone | 321-299-0909
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Fax |
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Provider Business Mailing Address
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Address Line | 7800 W SAND LAKE RD STE 210
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City | ORLANDO
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State | FL
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Zip | 32819-5198
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Country | US
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Telephone | 321-299-0909
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CFO
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Name | GAITRI BHAGAN
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Credential |
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Telephone | 321-265-4755
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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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