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General NPI Number Information
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NPI Number | 1841576105
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Entity Type | Organization
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Legal Business Name | SHARE THE CARE, INC.
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 07/18/2015
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Provider Practice Location Address
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Address Line | 1524 FORMOSA AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-5329
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Country | US
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Telephone | 407-423-5311
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Fax | 407-849-1495
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Provider Business Mailing Address
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Address Line | 1524 FORMOSA AVE
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City | WINTER PARK
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State | FL
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Zip | 32789-5329
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Country | US
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Telephone | 407-423-5311
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Fax | 407-849-1495
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Authorized Official
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Title or Position | CEO
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Name | MARY ELLEN GRANT
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Credential |
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Telephone | 407-423-5311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 339
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 9079
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 9298
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 347
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 9233
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 9233
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License Number State | FL
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