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General NPI Number Information
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NPI Number | 1346012721
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Entity Type | Organization
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Legal Business Name | JIMENEZ & NAZARIO LLC
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Dates
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Enumeration Date | 10/27/2023
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 302 S COLLINS ST
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City | PLANT CITY
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State | FL
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Zip | 33563-5534
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Country | US
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Telephone | 813-507-1245
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Fax |
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Provider Business Mailing Address
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Address Line | 11231 GOLD COMPASS ST
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City | GIBSONTON
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State | FL
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Zip | 33534-5698
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Country | US
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Telephone | 813-507-1245
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOHN D NAZARIO
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Credential |
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Telephone | 813-507-1245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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