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General NPI Number Information
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NPI Number | 1154694917
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Entity Type | Organization
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Legal Business Name | TOTAL PRIVATE HOME HEALTH INC.
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Dates
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Enumeration Date | 02/09/2012
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 3109 W HALLANDALE BEACH BLVD SUITE 102
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City | HALLANDALE
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State | FL
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Zip | 33009-5148
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Country | US
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Telephone | 954-651-6400
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Fax | 954-651-6402
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Provider Business Mailing Address
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Address Line | 3109 W HALLANDALE BEACH BLVD SUITE 102
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City | HALLANDALE
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State | FL
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Zip | 33009-5148
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Country | US
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Telephone | 954-651-6400
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Fax | 954-651-6402
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Authorized Official
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Title or Position | CEO
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Name | SHELDON RAMKISSON
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Credential |
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Telephone | 954-651-6400
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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 | 30211454
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License Number State | FL
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