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General NPI Number Information
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NPI Number | 1164139077
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Entity Type | Organization
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Legal Business Name | AXXESS HOME HEALTH CARE SERVICES
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 2800 W OAKLAND PARK BLVD STE 209B
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City | OAKLAND PARK
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State | FL
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Zip | 33311-1361
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Country | US
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Telephone | 347-777-7997
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Fax |
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Provider Business Mailing Address
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Address Line | 1577 NW 91ST AVE APT 122
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City | CORAL SPRINGS
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State | FL
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Zip | 33071-6654
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Country | US
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Telephone | 347-777-7997
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Fax |
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Authorized Official
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Title or Position | CEO/MANAGER
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Name | MISS TIFFANY SHAWNAKAY COSTLEY
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Credential | RN
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Telephone | 347-777-7997
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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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