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NPI 1598019481

NPI 1598019481 : CAREY GAINER FAMILY HOLDING COMPANY : ORLANDO, FL

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General NPI Number Information
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    NPI Number           |    1598019481
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    Entity Type          |    Organization 
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    Legal Business Name  |    CAREY GAINER FAMILY HOLDING COMPANY 
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Dates
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    Enumeration Date     |    10/31/2012
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    Last Update Date     |    10/31/2012
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Provider Practice Location Address
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    Address Line         |    905 W COLONIAL DR 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32804-7313
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    Country              |    US
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    Telephone            |    407-425-1863
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    905 W COLONIAL DR 
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    City                 |    ORLANDO
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    State                |    FL
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    Zip                  |    32804-7313
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    Country              |    US
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    Telephone            |    407-425-1863
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JANE  CAREY 
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    Credential           |    
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    Telephone            |    407-425-2508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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