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General NPI Number Information
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NPI Number | 1871189696
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Entity Type | Organization
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Legal Business Name | PATRICE LUV AND CARE SERVICE LLC
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 03/31/2021
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Provider Practice Location Address
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Address Line | 5322 ROCK DOVE TRL
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City | LAKELAND
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State | FL
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Zip | 33810-6934
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Country | US
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Telephone | 863-397-9923
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Fax |
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Provider Business Mailing Address
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Address Line | 5322 ROCK DOVE TRL
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City | LAKELAND
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State | FL
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Zip | 33810-6934
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Country | US
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Telephone | 863-397-9923
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PATRICE CHANDLER
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Credential |
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Telephone | 863-397-9923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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