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General NPI Number Information
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NPI Number | 1982105151
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Entity Type | Organization
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Legal Business Name | LOVING SOULS CARE SERVICES INC
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Dates
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Enumeration Date | 02/23/2018
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 8200 NW 41ST STREET 2ND FLOOR, STE 40
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City | DORAL
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State | FL
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Zip | 33166
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Country | US
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Telephone | 786-344-4173
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Fax | 786-364-1861
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Provider Business Mailing Address
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Address Line | 8200 NW 41ST STREET 2ND FLOOR, STE 40
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City | DORAL
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State | FL
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Zip | 33166
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Country | US
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Telephone | 786-344-4173
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Fax | 786-364-1861
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Authorized Official
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Title or Position | CEO
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Name | MARIA KARLA FRAGA MEDEROS
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Credential |
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Telephone | 786-344-4173
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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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