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General NPI Number Information
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NPI Number | 1518506252
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Entity Type | Individual
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Provider Name | MICHAEL STOLARENKO CNA
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Gender | Male
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Dates
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Enumeration Date | 12/28/2019
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Last Update Date | 01/25/2020
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Provider Practice Location Address
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Address Line | 10111 ALLENWOOD DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-5958
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Country | US
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Telephone | 813-672-0658
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Fax | 813-672-0658
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Provider Business Mailing Address
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Address Line | 10111 ALLENWOOD DR
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City | RIVERVIEW
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State | FL
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Zip | 33569-5958
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Country | US
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Telephone | 813-672-0658
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Fax | 813-672-0658
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | CNA39855
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License Number State | FL
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