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General NPI Number Information
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NPI Number | 1518566249
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Entity Type | Organization
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Legal Business Name | 1ST CARE OF NAPLES
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 06/01/2021
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Provider Practice Location Address
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Address Line | 9420 BONITA BEACH RD SE STE 203
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-4774
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Country | US
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Telephone | 239-390-0103
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Fax | 888-506-5776
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Provider Business Mailing Address
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Address Line | 4050 NE 30TH AVE
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City | LIGHTHOUSE POINT
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State | FL
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Zip | 33064-8424
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Country | US
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Telephone | 305-318-5115
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LADY SERVILLAS
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Credential |
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Telephone | 305-318-5115
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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 |
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License Number State |
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