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NPI 1043254899

NPI 1043254899 : PATIENT CHOICE HOME HEALTH AGENCY : SUNRISE, FL

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General NPI Number Information
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    NPI Number           |    1043254899
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    Entity Type          |    Organization 
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    Legal Business Name  |    PATIENT CHOICE HOME HEALTH AGENCY 
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Dates
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    Enumeration Date     |    06/15/2006
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    Last Update Date     |    09/02/2008
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Provider Practice Location Address
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    Address Line         |    7771 W OAKLAND PARK BLVD SUITE 100
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    City                 |    SUNRISE
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    State                |    FL
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    Zip                  |    33351-6749
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    Country              |    US
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    Telephone            |    954-742-5163
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    Fax                  |    954-742-5169
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Provider Business Mailing Address
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    Address Line         |    7771 W OAKLAND PARK BLVD SUITE 100
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    City                 |    SUNRISE
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    State                |    FL
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    Zip                  |    33351-6749
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    Country              |    US
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    Telephone            |    954-742-5163
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    Fax                  |    954-742-5169
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MRS. JENNIFER  NARCISSE 
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    Credential           |    
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    Telephone            |    954-742-5163
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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       |    21653096
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    License Number State |    FL
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