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General NPI Number Information
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NPI Number | 1295728186
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Entity Type | Organization
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Legal Business Name | BAYCARE HOME CARE, INC.
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Dates
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Enumeration Date | 08/25/2005
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 4616 E STATE ROAD 64
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City | BRADENTON
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State | FL
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Zip | 34208-9012
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Country | US
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Telephone | 941-727-9880
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Fax | 941-727-0136
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Provider Business Mailing Address
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Address Line | 8452 118TH AVE
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City | LARGO
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State | FL
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Zip | 33773-5007
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Country | US
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Telephone | 727-394-6461
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Fax | 727-394-6540
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Authorized Official
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Title or Position | PRESDIENT
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Name | MR. DANIEL E. SWEENEY
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Credential |
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Telephone | 727-394-6510
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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
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License Number | HHA299991698
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License Number State | FL
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