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General NPI Number Information
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NPI Number | 1104209626
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Entity Type | Organization
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Legal Business Name | FIRST ASSIST NURSING AND HOME CARE, INC.
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Dates
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Enumeration Date | 07/01/2015
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Last Update Date | 07/01/2015
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Provider Practice Location Address
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Address Line | 8400 N UNIVERSITY DR SUITE #302
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City | TAMARAC
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State | FL
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Zip | 33321-1752
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Country | US
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Telephone | 954-366-3351
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Fax | 954-206-1844
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Provider Business Mailing Address
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Address Line | 8400 N UNIVERSITY DR SUITE #302
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City | TAMARAC
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State | FL
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Zip | 33321-1752
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Country | US
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Telephone | 954-366-3351
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Fax | 954-206-1844
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEBRA D. GRANT
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Credential |
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Telephone | 954-366-3351
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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 | 30211775
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License Number State | FL
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