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General NPI Number Information
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NPI Number | 1548502461
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Entity Type | Organization
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Legal Business Name | ALL SEASONS HOME CARE OF SOUTHWEST FLORIDA, LLC
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Dates
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Enumeration Date | 03/18/2013
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Last Update Date | 03/18/2013
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Provider Practice Location Address
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Address Line | 11680 BONITA BEACH RD SE UNIT 100
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-5993
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Country | US
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Telephone | 239-949-1275
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Fax |
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Provider Business Mailing Address
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Address Line | 5130 LINTON BLVD SUITE B-7
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6596
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Country | US
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Telephone | 561-381-7844
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | PATRICIA HEUBERGER
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Credential |
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Telephone | 561-381-7844
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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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