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General NPI Number Information
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NPI Number | 1164378162
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Entity Type | Organization
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Legal Business Name | PISHON HOME CARE AGENCY CORP
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 332 W BOYNTON BEACH BLVD STE 4
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-4065
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Country | US
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Telephone | 561-294-2669
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Fax | 561-335-2100
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Provider Business Mailing Address
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Address Line | PO BOX 222742
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City | WEST PALM BEACH
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State | FL
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Zip | 33422-2742
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Country | US
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Telephone | 561-294-2669
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Fax | 561-335-2100
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Authorized Official
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Title or Position | CEO
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Name | MRS. HATTIE MARIE ROBERSON
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Credential | ROBERSON
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Telephone | 561-294-2669
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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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Taxonomy #2
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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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