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General NPI Number Information
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NPI Number | 1346722568
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Entity Type | Organization
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Legal Business Name | SHERAYNE HARRIGAN LLC
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Dates
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Enumeration Date | 09/04/2018
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Last Update Date | 09/04/2018
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Provider Practice Location Address
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Address Line | 840 N LAUDERDALE AVE # 302H
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-2001
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Country | US
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Telephone | 954-623-7570
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Fax | 636-707-9328
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Provider Business Mailing Address
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Address Line | 840 N LAUDERDALE AVE # 302H
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-2001
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Country | US
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Telephone | 954-623-7570
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Fax | 636-707-9328
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Authorized Official
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Title or Position | OWNER
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Name | SHERAYNE HARRIGAN
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Credential | RN
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Telephone | 954-756-0588
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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 | 235414
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License Number State | FL
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