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General NPI Number Information
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NPI Number | 1265284236
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Entity Type | Organization
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Legal Business Name | EL SHAMMAH HEALTH SERVICES LLC
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Dates
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Enumeration Date | 04/03/2024
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 8895 N MILITARY TRL STE 203C
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City | WEST PALM BEACH
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State | FL
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Zip | 33410-6261
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Country | US
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Telephone | 954-328-0375
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Fax |
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Provider Business Mailing Address
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Address Line | 234 SAN REMO BLVD
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-3944
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Country | US
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Telephone | 954-328-0375
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MRS. MARIE BERNADINE SMITH
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Credential | ARNP
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Telephone | 954-328-0375
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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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