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General NPI Number Information
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NPI Number | 1508748955
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Entity Type | Organization
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Legal Business Name | PERSONAL CARING L.L.C.
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 3233 NE 34TH ST APT 1006
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-6946
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Country | US
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Telephone | 954-383-6389
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Fax |
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Provider Business Mailing Address
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Address Line | 3233 NE 34TH ST APT 1006
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-6946
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Country | US
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Telephone | 954-383-6389
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER, SOLE EMPLOYEE
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Name | DR. KEVIN PATRICK HANAWAY
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Credential | DNP, APRN
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Telephone | 954-383-6389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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