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General NPI Number Information
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NPI Number | 1851998645
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Entity Type | Organization
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Legal Business Name | SENSASATIONAL SOLUTIONAL CARE LLC
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 29 OLD KINGS RD N STE 2B
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City | PALM COAST
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State | FL
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Zip | 32137-8233
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Country | US
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Telephone | 386-585-4697
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Fax | 386-585-4476
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Provider Business Mailing Address
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Address Line | 29 OLD KINGS RD N STE 2B
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City | PALM COAST
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State | FL
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Zip | 32137-8233
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Country | US
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Telephone | 386-585-4697
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Fax | 386-585-4476
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Authorized Official
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Title or Position | CEO//ADMINISTRATOR
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Name | MS. SHIRLEY ANN MALONE
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Credential | DO
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Telephone | 352-587-1331
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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 |
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License Number State |
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