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General NPI Number Information
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NPI Number | 1336311950
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Entity Type | Organization
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Legal Business Name | EXECUTIVE HEALTHCARE SOLUTIONS
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 8891 BRIGHTON LANE SUITE 122
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City | BONITA SPRINGS
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State | FL
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Zip | 34135
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Country | US
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Telephone | 239-992-4779
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Fax | 239-992-4764
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Provider Business Mailing Address
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Address Line | 8891 BRIGHTON LANE
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City | BONITA SPRINGS
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State | FL
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Zip | 34135
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Country | US
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Telephone | 239-992-4779
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Fax | 239-992-4764
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MR. JOHN BOTSKO JR.
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Credential | MHA, FACHE
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Telephone | 239-348-5601
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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 | FL
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