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General NPI Number Information
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NPI Number | 1013251511
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Entity Type | Organization
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Legal Business Name | ACTS SIGNATURE COMMUNITY SERVICES
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Dates
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Enumeration Date | 11/21/2012
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Last Update Date | 10/08/2013
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Provider Practice Location Address
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Address Line | 2250 INDIAN CREEK BLVD W
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City | VERO BEACH
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State | FL
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Zip | 32966-1331
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Country | US
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Telephone | 772-778-3828
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Fax | 772-770-0898
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Provider Business Mailing Address
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Address Line | 2250 INDIAN CREEK BLVD W
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City | VERO BEACH
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State | FL
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Zip | 32966-1331
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Country | US
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Telephone | 772-778-3828
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Fax | 772-770-0898
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CHERYL CLANCY
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Credential | RN
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Telephone | 561-362-0669
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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 | 299991089
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License Number State | FL
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