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General NPI Number Information
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NPI Number | 1972864841
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Entity Type | Organization
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Legal Business Name | TRUSCARE LLC
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Dates
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Enumeration Date | 06/06/2012
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Last Update Date | 06/06/2012
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Provider Practice Location Address
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Address Line | 465 MAITLAND AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701
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Country | US
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Telephone | 321-245-2682
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Fax |
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Provider Business Mailing Address
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Address Line | 465 MAITLAND AVE
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-5444
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARLOS GUTIERREZ
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Credential |
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Telephone | 321-245-2682
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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 | L12000054862
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License Number State | FL
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