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General NPI Number Information
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NPI Number | 1871001800
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Entity Type | Organization
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Legal Business Name | COMPLETE CARE HEALTH SOLUTIONS
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Dates
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Enumeration Date | 01/11/2018
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Last Update Date | 04/16/2020
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Provider Practice Location Address
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Address Line | 795 PRIMERA BLVD STE 1011
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City | LAKE MARY
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State | FL
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Zip | 32746-2191
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Country | US
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Telephone | 321-418-8448
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Fax |
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Provider Business Mailing Address
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Address Line | 1377 CHATFIELD PL
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City | ORLANDO
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State | FL
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Zip | 32814-6619
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Country | US
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Telephone | 321-418-8448
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | CHAD GARRELL
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Credential |
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Telephone | 321-418-8448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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