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General NPI Number Information
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NPI Number | 1578083036
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Entity Type | Organization
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Legal Business Name | AGING IN PLACE OF FL LLC
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 06/26/2017
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Provider Practice Location Address
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Address Line | 677 N WASHINGTON BLVD STE 42
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City | SARASOTA
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State | FL
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Zip | 34236-4241
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Country | US
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Telephone | 941-800-3345
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Fax |
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Provider Business Mailing Address
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Address Line | 2203 N LOIS AVE STE G450
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City | TAMPA
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State | FL
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Zip | 33607-2378
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER AND ADMINISTRATOR
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Name | MS. THUTRUNG ALEXIS NGUYEN
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Credential |
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Telephone | 813-868-6782
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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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