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General NPI Number Information
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NPI Number | 1629343900
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Entity Type | Organization
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Legal Business Name | ELDER ASSISTANCE, LLC
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 5620 MISSOURI AVE
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-2650
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Country | US
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Telephone | 727-326-4432
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Fax |
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Provider Business Mailing Address
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Address Line | 5623 US HIGHWAY 19 SUITE 201
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-3700
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Country | US
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Telephone | 727-326-4432
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | KATHLEEN MENGLE
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Credential |
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Telephone | 727-326-4432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | 9179
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 230919
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License Number State | FL
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