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General NPI Number Information
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NPI Number | 1902386451
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Entity Type | Organization
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Legal Business Name | SECOND OPINION CASE MANAGEMENT SERVICES INC
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 2900 14TH ST N STE 58
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City | NAPLES
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State | FL
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Zip | 34103-4589
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Country | US
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Telephone | 239-434-7601
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 14TH ST N STE 58
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City | NAPLES
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State | FL
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Zip | 34103-4589
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Country | US
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Telephone | 239-434-7601
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. STEPHEN J BRATCHER
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Credential | RN
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Telephone | 239-272-1333
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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 | 30211151
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License Number State | FL
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