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NPI 1598322661

NPI 1598322661 : ADUVA HEALTH LLC : WESLEY CHAPEL, FL

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General NPI Number Information
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    NPI Number           |    1598322661
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADUVA HEALTH LLC 
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Dates
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    Enumeration Date     |    05/23/2019
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    Last Update Date     |    05/23/2019
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Provider Practice Location Address
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    Address Line         |    2654 CYPRESS RIDGE BLVD STE 101 
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    City                 |    WESLEY CHAPEL
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    State                |    FL
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    Zip                  |    33544-6322
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    Country              |    US
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    Telephone            |    813-995-8803
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19046 BRUCE B DOWNS BLVD # 61 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33647-2434
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    Country              |    US
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    Telephone            |    813-995-8803
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    Fax                  |    813-501-8803
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Authorized Official
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    Title or Position    |    MEMBER MANAGER
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    Name                 |     ERIKA  CARTER 
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    Credential           |    
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    Telephone            |    813-995-8803
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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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