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General NPI Number Information
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NPI Number | 1689524118
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Entity Type | Organization
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Legal Business Name | FAMILY LEGACY CARE, INC
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Dates
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Enumeration Date | 02/03/2026
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Last Update Date | 02/03/2026
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Provider Practice Location Address
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Address Line | 4446 85TH AVENUE CIR E
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City | PARRISH
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State | FL
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Zip | 34219-1906
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Country | US
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Telephone | 941-275-1964
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 867
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City | PARRISH
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State | FL
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Zip | 34219-0867
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Country | US
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Telephone | 941-275-1964
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. JORGE AGUERO JR.
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Credential | MBA
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Telephone | 941-275-1964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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