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General NPI Number Information
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NPI Number | 1477434157
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Entity Type | Organization
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Legal Business Name | HALO CARE SERVICES
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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 | 510 CARIBE RIDGE WAY
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City | RUSKIN
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State | FL
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Zip | 33570-7614
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Country | US
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Telephone | 813-480-8091
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Fax |
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Provider Business Mailing Address
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Address Line | 806 MILANO CIR APT 106
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City | BRANDON
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State | FL
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Zip | 33511-7023
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Country | US
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Telephone | 813-481-8091
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MELVIN PORCHEA JR.
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Credential |
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Telephone | 813-481-8091
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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