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General NPI Number Information
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NPI Number | 1225416373
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Entity Type | Organization
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Legal Business Name | VERNEDA'S IN HOME COMPANION SERVICES
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Dates
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Enumeration Date | 05/09/2015
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Last Update Date | 05/09/2015
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Provider Practice Location Address
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Address Line | 3609 AVENUE S
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City | FORT PIERCE
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State | FL
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Zip | 34947-5660
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Country | US
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Telephone | 772-475-7317
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Fax |
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Provider Business Mailing Address
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Address Line | 3609 AVENUE S
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City | FORT PIERCE
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State | FL
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Zip | 34947-5660
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Country | US
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Telephone | 772-475-7317
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ERICA HARPER
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Credential |
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Telephone | 772-333-9101
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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 | FL
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