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General NPI Number Information
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NPI Number | 1699268235
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Entity Type | Organization
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Legal Business Name | KIND HEART HOME CARE LLC
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Dates
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Enumeration Date | 06/08/2018
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Last Update Date | 06/08/2018
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Provider Practice Location Address
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Address Line | 5006 TROUBLE CREEK RD STE 102
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4937
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Country | US
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Telephone | 866-849-4644
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Fax | 866-419-9422
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Provider Business Mailing Address
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Address Line | PO BOX 3070
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City | HOLIDAY
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State | FL
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Zip | 34692-0070
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Country | US
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Telephone | 866-849-4644
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Fax | 866-419-9422
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Authorized Official
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Title or Position | PRESIDENT
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Name | EDERLITA BROWN
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Credential |
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Telephone | 866-849-4644
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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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