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General NPI Number Information
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NPI Number | 1669351656
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Entity Type | Organization
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Legal Business Name | START PROFESSIONAL CARE & SUPPORT LLC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 8359 BEACON BLVD STE 408
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City | FORT MYERS
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State | FL
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Zip | 33907-3062
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Country | US
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Telephone | 305-396-8973
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Fax |
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Provider Business Mailing Address
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Address Line | 11117 W OKEECHOBEE RD STE 130
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-4210
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MADLIN MARICHAL
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Credential |
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Telephone | 786-442-6465
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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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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 |
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License Number State |
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