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General NPI Number Information
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NPI Number | 1689843443
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Entity Type | Organization
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Legal Business Name | CARMELINA HOME CARE SERVICE
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Dates
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Enumeration Date | 02/26/2008
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Last Update Date | 02/26/2008
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Provider Practice Location Address
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Address Line | 3926 BLOOMING HILL LN
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City | PALM HARBOR
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State | FL
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Zip | 34684-4104
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Country | US
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Telephone | 727-793-4434
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Fax | 727-239-0375
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Provider Business Mailing Address
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Address Line | 3926 BLOOMING HILL LN
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City | PALM HARBOR
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State | FL
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Zip | 34684-4104
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Country | US
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Telephone | 727-793-4434
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Fax | 727-239-0375
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Authorized Official
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Title or Position | PROVIDER/ ADMINISTRATOR/C.N.A
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Name | MS. CARMELINA M FLORES
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Credential | C.N.A/PROVIDER
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Telephone | 727-793-4434
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 228787
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License Number State | FL
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