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General NPI Number Information
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NPI Number | 1326173352
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Entity Type | Organization
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Legal Business Name | BROWARD HOME CARE, INC.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 10/25/2022
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Provider Practice Location Address
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Address Line | 2700 W CYPRESS CREEK RD SUITE B-100
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1744
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Country | US
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Telephone | 954-971-0500
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Fax | 954-978-6863
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Provider Business Mailing Address
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Address Line | 2700 W CYPRESS CREEK RD SUITE B-100
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1744
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Country | US
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Telephone | 954-971-0500
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Fax | 954-978-6863
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Authorized Official
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Title or Position | BILLING SUPERVISOR
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Name | ROBERT LEE PETERS
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Credential |
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Telephone | 405-947-7700
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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 | HHA20203096
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License Number State | FL
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