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NPI 1982285920

NPI 1982285920 : WITH LOVE HOME CARE SERVICES : CAPE CANAVERAL, FL

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General NPI Number Information
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    NPI Number           |    1982285920
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    Entity Type          |    Organization 
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    Legal Business Name  |    WITH LOVE HOME CARE SERVICES 
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Dates
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    Enumeration Date     |    04/20/2021
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    Last Update Date     |    04/20/2021
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Provider Practice Location Address
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    Address Line         |    165 CENTER ST SUITE 212
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    City                 |    CAPE CANAVERAL
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    State                |    FL
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    Zip                  |    32920-3292
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    Country              |    US
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    Telephone            |    321-549-9836
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3016 KAILEEN CIR NE 
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    City                 |    PALM BAY
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    State                |    FL
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    Zip                  |    32905-3012
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    Country              |    US
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    Telephone            |    321-549-9836
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     REBECCA  ALVARADO 
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    Credential           |    
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    Telephone            |    321-549-9836
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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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