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General NPI Number Information
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NPI Number | 1437030897
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Entity Type | Organization
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Legal Business Name | GC & KC HOLDINGS I, LLC
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 9368 N GENTLE BREEZE LOOP
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City | CITRUS SPRINGS
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State | FL
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Zip | 34434-4985
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Country | US
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Telephone | 352-586-4947
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Fax | 352-513-4428
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Provider Business Mailing Address
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Address Line | 9368 N GENTLE BREEZE LOOP
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City | CITRUS SPRINGS
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State | FL
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Zip | 34434-4985
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Country | US
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Telephone | 352-586-4947
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Fax | 352-513-4428
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Authorized Official
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Title or Position | OWNER
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Name | JULIET QUINTANA
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Credential |
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Telephone | 352-586-4947
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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 |
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License Number State |
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