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General NPI Number Information
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NPI Number | 1447129390
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Entity Type | Organization
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Legal Business Name | EDELCARE LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 7901 4TH ST N SUITE #30216
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City | ST. PETERSBURG
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State | FL
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Zip | 33702
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Country | US
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Telephone | 371-229-9907
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Fax |
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Provider Business Mailing Address
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Address Line | 5830 E 2ND ST STE 7000 #248
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City | CASPER
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State | WY
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Zip | 82609
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Country | US
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Telephone | 371-229-9907
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NIKITA LINOKS
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Credential |
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Telephone | 371-229-9907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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