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General NPI Number Information
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NPI Number | 1346709094
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Entity Type | Organization
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Legal Business Name | PSALM 23 HEALTH CARE INC
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 03/12/2019
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Provider Practice Location Address
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Address Line | 2245 MADISON ST APT 107
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City | HOLLYWOOD
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State | FL
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Zip | 33020-5305
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Country | US
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Telephone | 754-465-6411
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Fax | 954-653-8625
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Provider Business Mailing Address
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Address Line | 2245 MADISON ST APT 107
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City | HOLLYWOOD
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State | FL
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Zip | 33020-5305
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Country | US
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Telephone | 754-465-6411
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Fax | 954-653-8625
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURENE TROCHE
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Credential |
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Telephone | 754-465-6411
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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 |
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License Number State |
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