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General NPI Number Information
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NPI Number | 1205903044
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Entity Type | Organization
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Legal Business Name | A HOME CARE SERVICE OF PALM BEACH COUNTY, CORP
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4450 47TH AVE S
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City | LAKE WORTH
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State | FL
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Zip | 33463-4696
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Country | US
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Telephone | 561-963-4308
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Fax | 561-963-4380
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Provider Business Mailing Address
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Address Line | 4450 47TH AVE S
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City | LAKE WORTH
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State | FL
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Zip | 33463-4696
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Country | US
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Telephone | 561-963-4308
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Fax | 561-963-4380
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Authorized Official
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Title or Position | PRESDENT
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Name | MS. PATRICIA BELL
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Credential |
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Telephone | 561-963-4308
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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 | 227870
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License Number State | FL
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