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General NPI Number Information
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NPI Number | 1407534217
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Entity Type | Organization
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Legal Business Name | HEALTH PROVIDERS PERSONAL CARE, L.L.C.
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 4015 SALIDA DELSOL DR
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6691
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Country | US
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Telephone | 267-251-5076
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Fax |
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Provider Business Mailing Address
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Address Line | 4015 SALIDA DELSOL DR
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City | SUN CITY CENTER
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State | FL
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Zip | 33573-6691
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Country | US
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Telephone | 267-251-5076
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Fax |
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | NICOLE C FOSTER
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Credential | APRN
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Telephone | 267-251-5076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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