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General NPI Number Information
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NPI Number | 1336638105
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Entity Type | Organization
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Legal Business Name | PARADISHS INC.
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Dates
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Enumeration Date | 05/07/2018
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 2875 S OCEAN BLVD STE 200-018
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City | PALM BEACH
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State | FL
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Zip | 33480-5590
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Country | US
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Telephone | 561-317-0685
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Fax |
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Provider Business Mailing Address
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Address Line | 12773 FOREST HILL BLVD STE 104
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City | WELLINGTON
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State | FL
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Zip | 33414-4761
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Country | US
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Telephone | 561-317-0685
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Fax | 561-557-1009
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DR. AUDEANNE D DONALDSON
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Credential | PHD
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Telephone | 561-317-0685
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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 | 299994775
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License Number State | FL
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