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NPI 1780074922

NPI 1780074922 : CARE IN THE KEYS, INC. : KEY WEST, FL

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General NPI Number Information
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    NPI Number           |    1780074922
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    Entity Type          |    Organization 
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    Legal Business Name  |    CARE IN THE KEYS, INC. 
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Dates
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    Enumeration Date     |    01/26/2015
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    Last Update Date     |    01/26/2015
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Provider Practice Location Address
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    Address Line         |    1200 4TH ST 179
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    City                 |    KEY WEST
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    State                |    FL
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    Zip                  |    33040-3763
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    Country              |    US
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    Telephone            |    305-735-4460
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1200 4TH ST #179
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    City                 |    KEY WEST
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    State                |    FL
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    Zip                  |    33040-3763
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    Country              |    US
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    Telephone            |    305-735-4460
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    Fax                  |    305-453-4168
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |     KIM  WILKERSON 
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    Credential           |    
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    Telephone            |    305-735-4460
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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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