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General NPI Number Information
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NPI Number | 1528914405
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Entity Type | Organization
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Legal Business Name | XCLUSIVE HOME SERVICE 2024 LLC
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Dates
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Enumeration Date | 03/04/2026
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Last Update Date | 03/04/2026
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Provider Practice Location Address
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Address Line | 2818 CYPRESS RIDGE BLVD STE 101
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-6306
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Country | US
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Telephone | 813-803-2972
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Fax |
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Provider Business Mailing Address
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Address Line | 5275 POST OAK BLVD APT 109
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-5612
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Country | US
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Telephone | 813-803-2972
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Fax |
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Authorized Official
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Title or Position | AREA DIRECTOR
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Name | GEORGE MOYET-MELENDEZ
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Credential |
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Telephone | 727-259-3175
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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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