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General NPI Number Information
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NPI Number | 1396078408
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Entity Type | Organization
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Legal Business Name | HOME HEALTH CARE SERVICES LLC
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 800 NW 17TH AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33445-2581
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Country | US
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Telephone | 561-272-5866
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Fax | 561-243-3733
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Provider Business Mailing Address
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Address Line | 100 TIMBER RIDGE WAY NW
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City | ISSAQUAH
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State | WA
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Zip | 98027-8890
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Country | US
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Telephone | 425-557-4964
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Fax | 425-557-4946
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Authorized Official
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Title or Position | SENIOR DIRECTOR
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Name | JAMES W EYER
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Credential |
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Telephone | 561-272-5866
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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 | IHS.FS.60001426
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License Number State | WA
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