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General NPI Number Information
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NPI Number | 1497319156
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Entity Type | Organization
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Legal Business Name | AGING SERVICES
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Dates
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Enumeration Date | 04/29/2019
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 241 RUBY AVE STE 202
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City | KISSIMMEE
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State | FL
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Zip | 34741-5627
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Country | US
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Telephone | 321-414-2587
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Fax |
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Provider Business Mailing Address
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Address Line | 241 RUBY AVE STE 202
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City | KISSIMMEE
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State | FL
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Zip | 34741-5627
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Country | US
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Telephone | 321-414-2587
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | FRITZIE CENATUS
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Credential | RN, MED
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Telephone | 321-437-7033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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