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General NPI Number Information
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NPI Number | 1295681765
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Entity Type | Organization
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Legal Business Name | MRC HEALTHCARE L.L.C.
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Dates
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Enumeration Date | 03/07/2026
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 3049 CLEVELAND AVE STE 105
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City | FORT MYERS
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State | FL
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Zip | 33901-7049
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Country | US
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Telephone | 239-789-1829
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Fax | 239-789-1758
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Provider Business Mailing Address
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Address Line | 122 NE 9TH CT
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City | CAPE CORAL
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State | FL
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Zip | 33909-2627
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Country | US
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Telephone | 239-789-1829
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Fax | 239-789-1758
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Authorized Official
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Title or Position | OWNER
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Name | MARICEL RODRIGUEZ CANIZARES
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Credential |
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Telephone | 551-240-8410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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