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General NPI Number Information
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NPI Number | 1003555236
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Entity Type | Organization
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Legal Business Name | GOOD SHEPHERDS HOME CARE AGENCY
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Dates
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Enumeration Date | 06/04/2022
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Last Update Date | 06/04/2022
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Provider Practice Location Address
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Address Line | 4987 N UNIVERSITY DR STE 2402
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City | LAUDERHILL
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State | FL
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Zip | 33351-4506
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Country | US
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Telephone | 954-998-6384
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Fax |
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Provider Business Mailing Address
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Address Line | 4987 N UNIVERSITY DR STE 2402
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City | LAUDERHILL
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State | FL
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Zip | 33351-4506
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Country | US
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Telephone | 954-998-6384
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MENES JEAN-LOUIS
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Credential |
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Telephone | 954-200-1197
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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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