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General NPI Number Information
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NPI Number | 1619790334
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Entity Type | Organization
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Legal Business Name | CARING HEARTS CLINIC LLC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 5328 TROUBLE CREEK RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-5122
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Country | US
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Telephone | 813-252-1124
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Fax | 813-867-7079
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Provider Business Mailing Address
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Address Line | 5328 TROUBLE CREEK RD
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-5122
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Country | US
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Telephone | 813-252-1124
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Fax | 813-279-6371
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Authorized Official
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Title or Position | OWNER
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Name | JITHU A ABRAHAM
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Credential | ARPN
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Telephone | 813-280-4838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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