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NPI 1477616134

NPI 1477616134 : CARING SUPPORT SERVICES, INC. : OLDSMAR, FL

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General NPI Number Information
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    NPI Number           |    1477616134
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARING SUPPORT SERVICES, INC. 
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Dates
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    Enumeration Date     |    12/17/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    222 WESTMINSTER BLVD 
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    City                 |    OLDSMAR
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    State                |    FL
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    Zip                  |    34677-4618
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    Country              |    US
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    Telephone            |    727-798-1920
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    222 WESTMINSTER BLVD 
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    City                 |    OLDSMAR
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    State                |    FL
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    Zip                  |    34677-4618
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PROVIDER
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    Name                 |     PHILOMENA P WILFRED 
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    Credential           |    
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    Telephone            |    727-798-1920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    
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    License Number State |    FL
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