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General NPI Number Information
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NPI Number | 1922483460
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Entity Type | Organization
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Legal Business Name | LIFE CARE SPECIALISTS, LLC
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Dates
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Enumeration Date | 07/27/2015
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 924 N MAGNOLIA AVE SUITE 314
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City | ORLANDO
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State | FL
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Zip | 32803-3852
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Country | US
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Telephone | 407-748-0718
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Fax | 407-445-9362
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Provider Business Mailing Address
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Address Line | PO BOX 680938
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City | ORLANDO
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State | FL
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Zip | 32868-0938
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Country | US
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Telephone | 407-748-0718
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Fax | 407-445-9362
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Authorized Official
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Title or Position | CEO
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Name | DR. CARMEL EW MUNORE
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Credential | PHD
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Telephone | 407-748-0718
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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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