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General NPI Number Information
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NPI Number | 1437403342
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Entity Type | Organization
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Legal Business Name | AREA AGENCY ON AGIN FOR SW FL, INC.
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Dates
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Enumeration Date | 10/30/2012
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Last Update Date | 11/13/2015
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Provider Practice Location Address
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Address Line | 15201 N CLEVELAND AVE SUITE 1100
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-2714
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Country | US
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Telephone | 239-652-6900
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Fax | 239-652-6999
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Provider Business Mailing Address
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Address Line | 15201 N CLEVELAND AVE SUITE 1100
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-2714
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Country | US
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Telephone | 239-652-6900
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Fax | 239-652-6999
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MARIANNE LORINI
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Credential |
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Telephone | 239-652-6900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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