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General NPI Number Information
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NPI Number | 1811165897
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Entity Type | Organization
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Legal Business Name | ALPHA HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | 8660 COLLEGE PKWY SUITE 80
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City | FORT MYERS
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State | FL
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Zip | 33919-4886
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Country | US
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Telephone | 239-332-2427
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Fax | 239-332-1262
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Provider Business Mailing Address
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Address Line | PO BOX 61679
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City | FORT MYERS
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State | FL
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Zip | 33906-1679
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Country | US
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Telephone | 239-822-2088
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KAMILA SHURII RICHTER
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Credential | R.N.
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Telephone | 239-822-2088
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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 | 299993389
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License Number State | FL
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