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General NPI Number Information
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NPI Number | 1104556026
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Entity Type | Organization
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Legal Business Name | BIJOU HOME CARE LLC
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 2620 N AUSTRALIAN AVE STE 109
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-5625
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Country | US
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Telephone | 904-923-6024
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Fax |
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Provider Business Mailing Address
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Address Line | 2620 N AUSTRALIAN AVE STE 109
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-5625
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Country | US
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Telephone | 904-923-6024
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOANE BIJOU
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Credential |
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Telephone | 772-224-6427
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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 |
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License Number State |
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