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General NPI Number Information
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NPI Number | 1710324520
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Entity Type | Organization
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Legal Business Name | SHEKINAH GLORY HOME CARE, INC.
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 06/03/2013
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Provider Practice Location Address
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Address Line | 2565 PARMA ST
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City | SARASOTA
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State | FL
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Zip | 34231-5127
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Country | US
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Telephone | 941-926-2897
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Fax | 941-924-0987
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Provider Business Mailing Address
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Address Line | 2565 PARMA ST
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City | SARASOTA
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State | FL
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Zip | 34231-5127
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Country | US
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Telephone | 941-926-2897
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Fax | 941-924-0987
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NADINE C. CHERRY
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Credential |
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Telephone | 941-926-2897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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