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General NPI Number Information
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NPI Number | 1841457132
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Entity Type | Organization
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Legal Business Name | PERCEPTION CARE SERVICES CORP.
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 211 S MOON AVE
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City | BRANDON
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State | FL
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Zip | 33511-5703
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Country | US
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Telephone | 813-315-9831
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Fax | 813-315-9833
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Provider Business Mailing Address
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Address Line | 211 S MOON AVE
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City | BRANDON
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State | FL
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Zip | 33511-5703
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Country | US
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Telephone | 813-315-9831
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Fax | 813-315-9833
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MRS. MIRIAM HERNANDEZ FUENTES
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Credential | LPN
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Telephone | 813-315-9831
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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 | 986
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License Number State | FL
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