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General NPI Number Information
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NPI Number | 1790638286
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Entity Type | Organization
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Legal Business Name | VISITING CAREGIVERS LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 4880 STACK BLVD STE E5
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City | MELBOURNE
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State | FL
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Zip | 32901-8575
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Country | US
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Telephone | 321-574-1622
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Fax | 321-574-5898
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Provider Business Mailing Address
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Address Line | 4880 STACK BLVD STE E5
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City | MELBOURNE
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State | FL
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Zip | 32901-8575
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Country | US
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Telephone | 321-574-1622
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Fax | 321-574-5898
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALEXANDER MARTIN FUNDORA
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Credential |
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Telephone | 321-574-1622
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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