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General NPI Number Information
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NPI Number | 1942942800
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Entity Type | Organization
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Legal Business Name | ASSURED AND ASSOCIATES PERSONAL CARE OF FLORIDA, LLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 11/08/2024
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Provider Practice Location Address
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Address Line | 475 OSCEOLA ST STE 1200
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7857
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Country | US
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Telephone | 321-316-4005
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Fax | 877-797-3730
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Provider Business Mailing Address
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Address Line | 475 OSCEOLA ST STE 1200
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-7857
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Country | US
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Telephone | 213-316-4005
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Fax | 213-972-6992
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ALEXIA V WALLACE
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Credential |
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Telephone | 321-316-4005
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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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