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General NPI Number Information
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NPI Number | 1629160940
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Entity Type | Organization
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Legal Business Name | ULTIMATE NURSING CARE LLC.
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 6226 WEST CORPORATE OAKS DRIVE
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429
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Country | US
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Telephone | 352-564-0777
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Fax | 352-564-2770
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Provider Business Mailing Address
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Address Line | 6226 WEST CORPORATE OAKS DRIVE
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City | CRYSTAL RIVER
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State | FL
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Zip | 34429
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Country | US
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Telephone | 352-564-0777
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Fax | 352-564-2770
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. LINDA PURSLEY
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Credential | RN
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Telephone | 352-564-0777
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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 | 299991759
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License Number State | FL
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