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General NPI Number Information
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NPI Number | 1952904005
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Entity Type | Organization
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Legal Business Name | ATTENTIVE PREMIER CAREGIVERS, LLC
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Dates
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Enumeration Date | 11/20/2020
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 1880 82ND AVE STE 202
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City | VERO BEACH
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State | FL
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Zip | 32966-6994
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Country | US
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Telephone | 772-321-1774
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Fax | 772-617-2870
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Provider Business Mailing Address
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Address Line | 1880 82ND AVE STE 202
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City | VERO BEACH
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State | FL
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Zip | 32966-6994
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Country | US
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Telephone | 772-321-1774
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Fax | 772-617-2870
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Authorized Official
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Title or Position | PRESIDENT
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Name | TERESA D STINE
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Credential |
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Telephone | 772-321-1774
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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