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General NPI Number Information
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NPI Number | 1346730231
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Entity Type | Organization
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Legal Business Name | SAVEOURLITTLEONES
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 05/16/2018
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Provider Practice Location Address
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Address Line | 4911 W SAMPLE RD APT 110
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3418
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Country | US
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Telephone | 954-551-3257
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Fax | 954-827-0902
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Provider Business Mailing Address
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Address Line | 4911 W SAMPLE RD APT 110
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City | COCONUT CREEK
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State | FL
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Zip | 33073-3418
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Country | US
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Telephone |
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Fax | 954-827-0902
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Authorized Official
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Title or Position | OWNER
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Name | SHERELL BREUS
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Credential |
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Telephone | 954-551-3257
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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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