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General NPI Number Information
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NPI Number | 1790370294
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Entity Type | Organization
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Legal Business Name | ALL CREATURES LOVING CARE INC
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 03/05/2021
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Provider Practice Location Address
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Address Line | 19212 LAKE KING DRIVE
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City | ALTOONA
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State | FL
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Zip | 32702-0424
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Country | US
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Telephone | 407-545-9303
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 424
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City | ALTOONA
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State | FL
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Zip | 32702-0424
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Country | US
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Telephone | 407-545-9303
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALMA MARTIN
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Credential |
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Telephone | 407-545-9303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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