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General NPI Number Information
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NPI Number | 1316690050
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Entity Type | Organization
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Legal Business Name | KARETYME COMPANION SERVICE
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Dates
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Enumeration Date | 02/02/2022
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Last Update Date | 02/02/2022
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Provider Practice Location Address
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Address Line | 6308 BOYER ST
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City | ORLANDO
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State | FL
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Zip | 32810-6578
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Country | US
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Telephone | 407-287-2107
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Fax | 407-296-6250
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Provider Business Mailing Address
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Address Line | 6308 BOYER ST
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City | ORLANDO
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State | FL
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Zip | 32810-6578
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Country | US
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Telephone | 140-728-7210
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Fax |
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Authorized Official
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Title or Position | MEDICAID PROVIDER
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Name | MRS. TEREAKA D ROBINSON
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Credential |
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Telephone | 407-287-2107
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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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