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General NPI Number Information
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NPI Number | 1700748381
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Entity Type | Organization
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Legal Business Name | LK HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 5220 LAKE UNDERHILL RD
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City | ORLANDO
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State | FL
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Zip | 32807-1657
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Country | US
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Telephone | 689-808-0762
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Fax | --
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Provider Business Mailing Address
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Address Line | 5220 LAKE UNDERHILL RD
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City | ORLANDO
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State | FL
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Zip | 32807-1657
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Country | US
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Telephone | 689-808-0762
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | ODELAIDYS PORTELA SEMANAT
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Credential | APRN
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Telephone | 689-808-0762
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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