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General NPI Number Information
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NPI Number | 1578340113
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Entity Type | Organization
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Legal Business Name | WE CARE SRQ
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 1825 22ND ST
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City | SARASOTA
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State | FL
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Zip | 34234-7569
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Country | US
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Telephone | 813-650-3583
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Fax |
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Provider Business Mailing Address
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Address Line | 2167 N ORANGE AVE
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City | SARASOTA
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State | FL
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Zip | 34234-8546
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Country | US
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Telephone | 813-650-3583
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Fax |
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Authorized Official
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Title or Position | NURSE ASSISTANT
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Name | MICHELLE RUSS
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Credential | CNA
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Telephone | 813-650-3583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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