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General NPI Number Information
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NPI Number | 1407401243
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Entity Type | Organization
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Legal Business Name | CARE CONNECTIONS AT HOME LLC
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Dates
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Enumeration Date | 08/08/2019
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 2201 CANTU CT SUITE 110
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City | SARASOTA
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State | FL
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Zip | 34232-6254
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Country | US
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Telephone | 941-404-5760
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Fax | 941-786-0722
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Provider Business Mailing Address
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Address Line | 2201 CANTU COURT SUITE 110
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City | SARASOTA
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State | FL
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Zip | 34232-6254
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Country | US
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Telephone | 941-404-5760
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Fax | 941-786-0722
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN MAHONEY
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Credential |
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Telephone | 585-755-9927
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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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