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General NPI Number Information
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NPI Number | 1346392404
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Entity Type | Organization
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Legal Business Name | EMBASSY HOME CARE INC
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6093 NW 9TH CT
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City | MARGATE
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State | FL
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Zip | 33063-3661
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Country | US
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Telephone | 954-972-5600
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Fax | 954-972-0666
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Provider Business Mailing Address
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Address Line | 6093 NW 9TH CT
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City | MARGATE
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State | FL
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Zip | 33063-3661
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Country | US
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Telephone | 954-972-5600
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Fax | 954-972-0666
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Authorized Official
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Title or Position | PRES
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Name | MRS. ROSELLA HARPAUL
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Credential |
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Telephone | 954-972-5600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL8668
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License Number State | FL
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