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General NPI Number Information
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NPI Number | 1588366397
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Entity Type | Organization
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Legal Business Name | LARIMORE HOMECARE
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Dates
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Enumeration Date | 03/17/2023
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 2625 STONEWOOD PARK LOOP SUITE 108
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City | LAND O'LAKES
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State | FL
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Zip | 34638
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Country | US
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Telephone | 133804849
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Fax |
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Provider Business Mailing Address
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Address Line | 9811 BELMONT PARK DRIVE
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City | DADE CITY
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State | FL
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Zip | 33525
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Country | US
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Telephone | 813-380-4849
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. TRAVIS L LARIMORE
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Credential | PA-C
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Telephone | 813-380-4849
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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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