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General NPI Number Information
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NPI Number | 1538950696
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Entity Type | Individual
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Provider Name | LI MAURELL MONTERO
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Gender |
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 3201 W HILLSBOROUGH AVE # 152772
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City | TAMPA
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State | FL
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Zip | 33614-5940
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Country | US
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Telephone | 786-481-9097
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Fax | 813-212-9672
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Provider Business Mailing Address
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Address Line | 3201 W HILLSBOROUGH AVE # 152772
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City | TAMPA
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State | FL
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Zip | 33614-5940
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Country | US
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Telephone | 786-481-9097
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Fax | 813-212-9672
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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