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General NPI Number Information
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NPI Number | 1619869591
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Entity Type | Organization
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Legal Business Name | MY BROTHERS KEEPER PRIVATE CAREGIVING LLC
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Dates
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Enumeration Date | 07/16/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 918 ROLLING ACRES RD STE 8
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City | LADY LAKE
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State | FL
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Zip | 32159-5026
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Country | US
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Telephone | 352-492-1255
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Fax | 407-537-7913
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Provider Business Mailing Address
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Address Line | 918 ROLLING ACRES RD STE 8
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City | LADY LAKE
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State | FL
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Zip | 32159-5026
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Country | US
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Telephone | 352-492-1255
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Fax | 407-537-7913
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Authorized Official
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Title or Position | ADMINISTRTATOR
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Name | CAMAE COTTON
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Credential |
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Telephone | 352-461-3980
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State | NULL
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