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General NPI Number Information
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NPI Number | 1922674613
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Entity Type | Organization
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Legal Business Name | MEDICAB HOME CARE LLC
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Dates
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Enumeration Date | 06/02/2021
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Last Update Date | 06/02/2021
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Provider Practice Location Address
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Address Line | 13240 N CLEVELAND AVE STE 4
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-4855
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Country | US
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Telephone | 239-980-3900
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Fax | 877-745-8863
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Provider Business Mailing Address
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Address Line | 13240 N CLEVELAND AVE STE 4
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City | NORTH FORT MYERS
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State | FL
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Zip | 33903-4855
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Country | US
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Telephone | 239-980-3900
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Fax | 877-745-8863
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Authorized Official
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Title or Position | VOO
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Name | MR. MARTIN GITAU NDUNG'U
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Credential |
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Telephone | 239-980-3900
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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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