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General NPI Number Information
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NPI Number | 1336583228
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Entity Type | Organization
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Legal Business Name | CAREASSIST HOME CARE
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 1001 W CYPRESS CREEK RD SUITE 118B
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1900
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Country | US
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Telephone | 754-223-3156
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Fax |
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Provider Business Mailing Address
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Address Line | 1001 W CYPRESS CREEK RD SUITE 118B
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-1900
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Country | US
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Telephone | 754-223-3156
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | EDGAR ALLEN
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Credential |
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Telephone | 754-223-3156
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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 | 30211626
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License Number State | FL
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