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General NPI Number Information
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NPI Number | 1275782674
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Entity Type | Organization
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Legal Business Name | PROVIDERS WHO CARE HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 08/18/2010
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Provider Practice Location Address
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Address Line | 3200 N FEDERAL HWY SUITE 206-22
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City | BOCA RATON
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State | FL
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Zip | 33431-6035
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Country | US
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Telephone | 561-206-6112
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Fax | 561-826-0054
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Provider Business Mailing Address
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Address Line | 3200 N FEDERAL HWY SUITE 206-22
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City | BOCA RATON
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State | FL
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Zip | 33431-6035
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Country | US
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Telephone | 561-338-9388
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Fax | 866-583-4558
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Authorized Official
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Title or Position | PRESIDENT
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Name | MAUREEN MARNETTE PATTERSON
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Credential | RN
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Telephone | 954-643-1014
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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 | 299993270
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License Number State | FL
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