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General NPI Number Information
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NPI Number | 1598418501
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Entity Type | Organization
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Legal Business Name | ATTAI HOME CARE, LLC
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 01/31/2022
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Provider Practice Location Address
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Address Line | 3162 TOURAINE AVE
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City | ORLANDO
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State | FL
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Zip | 32812-6603
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Country | US
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Telephone | 407-446-5123
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Fax |
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Provider Business Mailing Address
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Address Line | 4409 HOFFNER AVE BOX 369
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City | ORLANDO
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State | FL
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Zip | 32812-2331
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Country | US
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Telephone | 407-446-5123
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHRINA GRANT
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Credential | RN
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Telephone | 407-446-5123
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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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