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General NPI Number Information
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NPI Number | 1376102244
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Entity Type | Organization
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Legal Business Name | ABLE HEALTHCARE SERVICES OF LEE, INC.
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Dates
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Enumeration Date | 06/13/2019
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Last Update Date | 06/13/2019
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Provider Practice Location Address
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Address Line | 6226 PRESIDENTIAL CT STE A
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City | FORT MYERS
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State | FL
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Zip | 33919-3521
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Country | US
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Telephone | 239-437-2434
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Fax | 239-437-2437
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Provider Business Mailing Address
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Address Line | 6226 PRESIDENTIAL CT STE A
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City | FORT MYERS
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State | FL
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Zip | 33919-3521
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Country | US
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Telephone | 239-437-2434
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Fax | 239-437-2437
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ROBERT FRANCIS TUFFY
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Credential |
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Telephone | 239-826-6267
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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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