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General NPI Number Information
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NPI Number | 1396653531
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Entity Type | Organization
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Legal Business Name | PINK PANTHER CARE
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Dates
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Enumeration Date | 08/29/2026
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 5005 W LAUREL ST STE 100-2046
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City | TAMPA
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State | FL
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Zip | 33607-3886
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Country | US
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Telephone | 813-564-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 5005 W LAUREL ST STE 100-2046
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City | TAMPA
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State | FL
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Zip | 33607-3886
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Country | US
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Telephone | 813-564-7676
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TANTANISHA N MITCHELL
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Credential | RN
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Telephone | 813-564-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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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 | 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 #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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