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General NPI Number Information
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NPI Number | 1720982903
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Entity Type | Organization
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Legal Business Name | MOMBOSPICE CARE CUISINE
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 104 W CENTRAL AVE
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City | WINTER HAVEN
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State | FL
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Zip | 33880-6313
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Country | US
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Telephone | 727-454-4011
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Fax |
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Provider Business Mailing Address
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Address Line | 5209 SNOWY HERON DR
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City | LAKELAND
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State | FL
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Zip | 33812-6317
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Country | US
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Telephone | 863-529-1866
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HOPE BERRIEN
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Credential |
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Telephone | 863-529-1866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State | NULL
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