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General NPI Number Information
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NPI Number | 1316408842
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Entity Type | Organization
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Legal Business Name | AFFINITY HOME HEALTHCARE, LLC
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Dates
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Enumeration Date | 03/27/2019
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Last Update Date | 03/21/2023
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Provider Practice Location Address
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Address Line | 440 E SAMPLE RD STE 206
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City | POMPANO BEACH
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State | FL
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Zip | 33064-4440
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Country | US
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Telephone | 877-514-5833
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Fax | 855-919-6080
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Provider Business Mailing Address
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Address Line | PO BOX 1116
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City | DEERFIELD BEACH
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State | FL
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Zip | 33443-1116
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Country | US
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Telephone | 877-514-5833
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Fax | 855-919-6080
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. RANON ALTMAN
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Credential |
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Telephone | 877-514-5833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care 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 | 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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