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General NPI Number Information
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NPI Number | 1730832213
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Entity Type | Organization
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Legal Business Name | TWO HEARTS ONE LOVE LLC
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 2126 E EDGEWOOD DR
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City | LAKELAND
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State | FL
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Zip | 33803-3655
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Country | US
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Telephone | 863-934-1700
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Fax |
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Provider Business Mailing Address
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Address Line | 182 PIAVE ST
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City | HAINES CITY
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State | FL
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Zip | 33844-7762
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Country | US
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Telephone | 863-308-9192
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | SEANQUANEE DENAZIA CHANDLER
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Credential |
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Telephone | 863-934-1700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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