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General NPI Number Information
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NPI Number | 1083790752
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Entity Type | Organization
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Legal Business Name | PALM BEACH HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 718 SW PORT ST LUCIE BLVD SUITE 2
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-2689
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Country | US
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Telephone | 772-323-0012
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Fax | 772-446-9667
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Provider Business Mailing Address
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Address Line | 718 SW PORT ST LUCIE BLVD SUITE 2
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-2689
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Country | US
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Telephone | 772-323-0012
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Fax | 772-446-9667
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | MR. MICHAEL TONY LIGETI
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Credential |
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Telephone | 561-687-7277
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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 | 299992559
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License Number State | FL
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