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General NPI Number Information
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NPI Number | 1689532939
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Entity Type | Organization
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Legal Business Name | SOUTHSHORE HOMEKARE
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 116 E BLOOMINGDALE AVE
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City | BRANDON
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State | FL
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Zip | 33511-8101
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Country | US
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Telephone | 813-850-8742
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Fax |
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Provider Business Mailing Address
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Address Line | 7055 RESERVIOR CT
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City | APOLLO BEACH
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State | FL
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Zip | 33572-1646
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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 | ANGELIKA ARCISZEWSKA
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Credential |
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Telephone | 813-850-8742
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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