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General NPI Number Information
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NPI Number | 1609172675
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Entity Type | Organization
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Legal Business Name | SARASOTA HOME HEALTH CARE AGENCY, LLC.
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Dates
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Enumeration Date | 02/08/2011
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 8051 N TAMIAMI TRL UNIT #E3
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City | SARASOTA
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State | FL
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Zip | 34243-2032
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Country | US
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Telephone | 941-306-4347
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Fax | 941-866-7539
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Provider Business Mailing Address
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Address Line | 8051 N TAMIAMI TRL UNIT #E3
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City | SARASOTA
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State | FL
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Zip | 34243-2032
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Country | US
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Telephone | 941-306-4347
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Fax | 941-866-7539
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | VICTOR VISHNEVSKY
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Credential |
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Telephone | 941-306-4347
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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 | 299993801
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License Number State | FL
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