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General NPI Number Information
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NPI Number | 1023620275
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Entity Type | Organization
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Legal Business Name | HENRY ROSS HOME HEALTH SERVICES
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Dates
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Enumeration Date | 08/19/2020
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 1386 ABBOTT LN
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City | SEBASTIAN
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State | FL
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Zip | 32958-2206
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Country | US
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Telephone | 772-410-7657
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Fax |
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Provider Business Mailing Address
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Address Line | 1386 ABBOTT LN
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City | SEBASTIAN
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State | FL
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Zip | 32958-2206
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Country | US
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Telephone | 772-410-7657
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CONNIE HENRY
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Credential |
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Telephone | 772-410-7657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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