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General NPI Number Information
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NPI Number | 1639030463
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Entity Type | Organization
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Legal Business Name | LA MANO AMIGA CORP.
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 3980 TAMPA RD STE 205J
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City | OLDSMAR
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State | FL
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Zip | 34677-3223
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Country | US
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Telephone | 813-814-1700
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Fax | 813-814-1710
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Provider Business Mailing Address
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Address Line | 3980 TAMPA RD STE 205J
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City | OLDSMAR
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State | FL
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Zip | 34677-3223
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Country | US
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Telephone | 813-814-1700
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Fax | 813-814-1710
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE RAFAEL CASALLAS
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Credential |
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Telephone | 813-915-1018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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