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General NPI Number Information
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NPI Number | 1740425776
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Entity Type | Organization
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Legal Business Name | TAKE CARE OF SARASOTA INC.
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Dates
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Enumeration Date | 12/04/2008
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Last Update Date | 12/04/2008
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Provider Practice Location Address
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Address Line | 3982 BEE RIDGE RD BUILDING H SUITE A
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City | SARASOTA
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State | FL
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Zip | 34233-1210
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Country | US
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Telephone | 941-927-2292
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Fax | 941-927-2294
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Provider Business Mailing Address
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Address Line | 3982 BEE RIDGE RD BUILDING H SUITE A
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City | SARASOTA
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State | FL
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Zip | 34233-1210
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Country | US
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Telephone | 941-927-2292
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Fax | 941-927-2294
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Authorized Official
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Title or Position | EXCECUTIVE ADMINISTRATOR/OWNER
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Name | MRS. SUSANNE S. WISE
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Credential | R.N.
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Telephone | 941-927-2292
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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 | 21657096
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License Number State | FL
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