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General NPI Number Information
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NPI Number | 1588186894
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Entity Type | Organization
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Legal Business Name | ATHENA CARE RESOURCES LLC
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 1850 LEE RD STE 214
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City | WINTER PARK
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State | FL
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Zip | 32789-2106
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Country | US
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Telephone | 407-756-0104
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Fax |
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Provider Business Mailing Address
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Address Line | 14814 TULLAMORE LOOP
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City | WINTER GARDEN
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State | FL
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Zip | 34787-5338
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Country | US
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Telephone | 727-637-1430
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. ABIMBOLA OGUN
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Credential |
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Telephone | 407-756-0104
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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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