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General NPI Number Information
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NPI Number | 1144543091
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Entity Type | Organization
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Legal Business Name | VITALINK HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 03/07/2010
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Last Update Date | 03/07/2010
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Provider Practice Location Address
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Address Line | 5100 NW 47TH AVE
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4943
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Country | US
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Telephone | 954-871-7404
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Fax | 561-998-7974
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Provider Business Mailing Address
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Address Line | 4800 NW 2ND AVE SUITE 4
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City | BOCA RATON
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State | FL
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Zip | 33431-4804
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Country | US
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Telephone | 561-998-7972
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Fax | 561-998-7974
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARLENE CLARKE
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Credential | RN
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Telephone | 561-998-7972
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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 | 299993215
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License Number State | FL
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