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General NPI Number Information
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NPI Number | 1588734511
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Entity Type | Organization
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Legal Business Name | ANTONIA LANASA-ALGIE, INC.
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 06/27/2013
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Provider Practice Location Address
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Address Line | 6809 OAK HILL DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-2535
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Country | US
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Telephone | 727-817-0170
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Fax | 727-817-0170
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Provider Business Mailing Address
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Address Line | 6809 OAK HILL DR
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-2535
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Country | US
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Telephone | 772-781-7017
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Fax | 727-817-0170
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANTONIA R LANASA-ALGIE
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Credential |
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Telephone | 727-817-0170
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 681069196
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License Number State | FL
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