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General NPI Number Information
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NPI Number | 1245795772
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Entity Type | Organization
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Legal Business Name | 2 WELCOMING ARMS LLC
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Dates
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Enumeration Date | 02/08/2019
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Last Update Date | 04/22/2019
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Provider Practice Location Address
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Address Line | 4022 SW BAMBERG ST
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-7029
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Country | US
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Telephone | 772-882-0426
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 881375
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34988-1375
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Country | US
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Telephone | 772-985-7959
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MILTON BAZILE
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Credential |
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Telephone | 772-985-7959
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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