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General NPI Number Information
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NPI Number | 1063503001
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Entity Type | Organization
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Legal Business Name | CERTIFIED HEALTH CARE SERVICES, INC.
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 3296 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-5615
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Country | US
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Telephone | 954-677-9500
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Fax | 954-677-9200
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Provider Business Mailing Address
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Address Line | 915 MIDDLE RIVER DRIVE SUITE 314
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City | FT. LAUDERDALE
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State | FL
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Zip | 33304
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Country | US
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Telephone | 954-677-9500
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Fax | 954-677-9200
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | LIDIA KIRITCHENKO
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Credential |
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Telephone | 954-677-9500
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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 | 21998096
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License Number State | FL
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