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General NPI Number Information
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NPI Number | 1891313607
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Entity Type | Organization
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Legal Business Name | STILL CARE HOME CARE AP LLC
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Dates
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Enumeration Date | 07/08/2020
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Last Update Date | 07/08/2020
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Provider Practice Location Address
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Address Line | 4048 VELARDE LN
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City | SARASOTA
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State | FL
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Zip | 34235-4438
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Country | US
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Telephone | 813-562-2756
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Fax |
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Provider Business Mailing Address
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Address Line | 12367 30TH ST E
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City | PARRISH
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State | FL
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Zip | 34219-1612
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Country | US
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Telephone | 813-562-2756
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Fax |
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Authorized Official
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Title or Position | MGM
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Name | ALBERT O PARKES
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Credential | MGM
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Telephone | 813-562-2756
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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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