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General NPI Number Information
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NPI Number | 1144908971
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Entity Type | Organization
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Legal Business Name | PRISTINE HELPING HANDS LLC
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Dates
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Enumeration Date | 07/11/2023
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Last Update Date | 07/11/2023
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Provider Practice Location Address
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Address Line | 1961 SW FEARS AVE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-4529
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Country | US
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Telephone | 772-361-2478
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Fax |
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Provider Business Mailing Address
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Address Line | 1961 SW FEARS AVE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-4529
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Country | US
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Telephone | 772-361-2478
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD SHOY
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Credential |
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Telephone | 772-361-2478
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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 |
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License Number State |
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