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General NPI Number Information
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NPI Number | 1376971119
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Entity Type | Organization
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Legal Business Name | L&V SWEET HOME CARE
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Dates
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Enumeration Date | 10/14/2013
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Last Update Date | 10/14/2013
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Provider Practice Location Address
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Address Line | 2106 FINLAND DR
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City | SPRING HILL
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State | FL
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Zip | 34609-3833
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Country | US
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Telephone | 352-688-9653
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Fax | 352-835-7310
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Provider Business Mailing Address
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Address Line | 9380 VANCOUVER RD
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City | SPRING HILL
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State | FL
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Zip | 34608-6566
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Country | US
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Telephone | 352-688-9653
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Fax | 352-835-7310
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. LARRY LEWIS
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Credential | MBA
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Telephone | 352-688-9653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL11286
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License Number State | FL
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