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General NPI Number Information
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NPI Number | 1053487975
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Entity Type | Organization
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Legal Business Name | CONTINENTAL HOMECARE SERVICES
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Dates
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Enumeration Date | 11/24/2006
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Last Update Date | 02/13/2015
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Provider Practice Location Address
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Address Line | 10242 NW 47TH ST SUITE 28
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City | SUNRISE
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State | FL
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Zip | 33351-7903
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Country | US
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Telephone | 954-742-3524
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Fax | 954-746-3197
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Provider Business Mailing Address
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Address Line | 10242 NW 47TH ST SUITE 28
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City | SUNRISE
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State | FL
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Zip | 33351-7903
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Country | US
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Telephone | 954-742-3524
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Fax | 954-746-3197
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Authorized Official
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Title or Position | CEO
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Name | PROF. WALTER EDWARD IGNASIAK JR.
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Credential | RRT
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Telephone | 954-742-3524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | HME643
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License Number State | FL
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