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General NPI Number Information
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NPI Number | 1518660356
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Entity Type | Organization
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Legal Business Name | TARCON CARE SERVICES LLC
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Dates
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Enumeration Date | 03/22/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 4767 NEW BROAD ST STE 315
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City | ORLANDO
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State | FL
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Zip | 32814-6405
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Country | US
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Telephone | 689-250-6734
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Fax | 407-209-2281
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Provider Business Mailing Address
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Address Line | 37 N ORANGE AVE STE 807
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City | ORLANDO
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State | FL
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Zip | 32801-2416
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Country | US
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Telephone | 689-250-6734
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Fax | 407-209-2281
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Authorized Official
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Title or Position | OWNER & CEO
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Name | MR. MATIAS OSCAR TARRIO PAGES
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Credential |
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Telephone | 689-250-6734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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