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General NPI Number Information
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NPI Number | 1134730559
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Entity Type | Organization
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Legal Business Name | AGAPE OPEN ARMS LLC
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Dates
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Enumeration Date | 08/10/2020
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Last Update Date | 08/10/2020
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Provider Practice Location Address
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Address Line | 3721 NE 4TH TER
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-4346
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Country | US
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Telephone | 561-667-1658
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Fax | 954-827-0202
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Provider Business Mailing Address
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Address Line | 3721 NE 4TH TER
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City | DEERFIELD BEACH
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State | FL
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Zip | 33064-4346
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Country | US
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Telephone | 561-667-1658
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Fax | 954-827-0202
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Authorized Official
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Title or Position | OWNER
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Name | MS. JOSIANE ALFRED
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Credential |
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Telephone | 561-667-1658
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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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