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General NPI Number Information
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NPI Number | 1275990673
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Entity Type | Organization
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Legal Business Name | BCMB ENTERPRISES, INC.
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Dates
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Enumeration Date | 01/15/2016
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Last Update Date | 01/15/2016
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Provider Practice Location Address
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Address Line | 255 EVERNIA ST #PH11
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-5678
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Country | US
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Telephone | 954-681-2209
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Fax |
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Provider Business Mailing Address
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Address Line | 500 S AUSTRALIAN AVE SUITE 541
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6223
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BONNIE GLOVER
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Credential |
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Telephone | 954-654-6263
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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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