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General NPI Number Information
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NPI Number | 1093444234
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Entity Type | Individual
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Provider Name | CHARLES ANN KEY CARE SERVICES
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Gender | Female
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Dates
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Enumeration Date | 06/05/2022
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Last Update Date | 06/05/2022
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Provider Practice Location Address
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Address Line | 801 NORTHPOINT PKWY STE 66
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-1994
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Country | US
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Telephone | 561-722-5199
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Fax | 561-720-2921
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Provider Business Mailing Address
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Address Line | 1541 BALFOUR POINT DR APT B
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1922
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Country | US
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Telephone | 561-722-5199
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Fax | 561-720-2921
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 236764
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License Number State | FL
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