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General NPI Number Information
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NPI Number | 1922800580
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Entity Type | Organization
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Legal Business Name | NEW BEGINNINGS HOME CARE LLC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 4726 8TH AVE S.
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City | ST. PETERSBURG
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State | FL
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Zip | 33711
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Country | US
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Telephone | 727-301-5681
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Fax |
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Provider Business Mailing Address
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Address Line | 4726 8TH AVE S.
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City | ST. PETERSBURG
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State | FL
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Zip | 33711
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Country | US
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Telephone | 727-301-5681
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MS. MAKAYLA K. DILLARD
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Credential | LPN
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Telephone | 727-301-5681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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