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General NPI Number Information
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NPI Number | 1881242360
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Entity Type | Organization
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Legal Business Name | SW FLORIDACARE, INC
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Dates
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Enumeration Date | 08/28/2019
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Last Update Date | 06/19/2020
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Provider Practice Location Address
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Address Line | 10911 BONITA BEACH RD SE
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City | BONITA SPRINGS
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State | FL
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Zip | 34135-9053
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Country | US
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Telephone | 239-676-6440
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2292
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City | BONITA SPRINGS
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State | FL
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Zip | 34133-2292
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Country | US
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Telephone | 239-676-6440
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOSEPH F BACHICH
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Credential |
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Telephone | 239-676-6440
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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