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General NPI Number Information
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NPI Number | 1003437484
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Entity Type | Organization
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Legal Business Name | WAYPOINT MEDICAL SOUTH LLC DBA WAYPOINT HOME HEALTH CARE
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 10/19/2021
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Provider Practice Location Address
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Address Line | 936 US HIGHWAY 1 UNIT D
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City | SEBASTIAN
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State | FL
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Zip | 32958-4100
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Country | US
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Telephone | 386-690-4382
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Fax | 844-659-2825
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Provider Business Mailing Address
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Address Line | 1001 S RIVERSIDE DR
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City | EDGEWATER
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State | FL
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Zip | 32132-2348
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Country | US
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Telephone | 386-690-4382
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Fax | 844-659-2825
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES RILEY MOYLE
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Credential |
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Telephone | 386-690-4382
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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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