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General NPI Number Information
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NPI Number | 1578789921
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Entity Type | Organization
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Legal Business Name | COMMUNITY AGING & RETIREMENT SERVICES, INC.
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Dates
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Enumeration Date | 04/17/2007
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 12417 CLOCK TOWER PARKWAY SUITE 5
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City | HUDSON
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State | FL
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Zip | 34667-2411
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Country | US
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Telephone | 727-862-9291
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Fax | 727-862-6013
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Provider Business Mailing Address
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Address Line | 12417 CLOCK TOWER PARKWAY
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City | HUDSON
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State | FL
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Zip | 34667-2411
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Country | US
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Telephone | 727-862-9291
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Fax | 727-862-6013
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MRS. JEMITH ROSA
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Credential | MPA
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Telephone | 727-862-9291
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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 | 20255096
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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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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