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General NPI Number Information
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NPI Number | 1568911402
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Entity Type | Organization
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Legal Business Name | SERENDIPITY LOVING CARE R3 LLC
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Dates
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Enumeration Date | 10/03/2016
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Last Update Date | 10/03/2016
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Provider Practice Location Address
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Address Line | 9800 US HIGHWAY 441 107
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City | LEESBURG
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State | FL
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Zip | 34788-3975
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Country | US
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Telephone | 407-801-3635
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 MAGUIRE RD
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City | OCOEE
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State | FL
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Zip | 34761-4797
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Country | US
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Telephone | 407-801-3635
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MIKAEL SEAN OAKLEY
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Credential |
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Telephone | 407-801-3635
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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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