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General NPI Number Information
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NPI Number | 1578077962
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Entity Type | Organization
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Legal Business Name | LOVING CARE IN HOME SERVICE OF CITRUS LLC
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Dates
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Enumeration Date | 11/22/2017
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 7936 E. GULF TO LAKE HWY
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City | INVERNESS
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State | FL
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Zip | 34450
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Country | US
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Telephone | 352-860-0885
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Fax | 352-726-2864
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Provider Business Mailing Address
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Address Line | PO BOX 2498
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City | INVERNESS
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State | FL
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Zip | 34451-2498
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Country | US
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Telephone | 352-860-0885
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Fax | 352-726-2864
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Authorized Official
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Title or Position | MANAGER
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Name | WILLIAM D TARR
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Credential |
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Telephone | 352-860-0885
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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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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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