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General NPI Number Information
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NPI Number | 1417308123
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Entity Type | Organization
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Legal Business Name | PREFERRED CHOICE HOME CARE
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Dates
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Enumeration Date | 06/23/2016
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Last Update Date | 06/23/2016
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Provider Practice Location Address
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Address Line | 500 S AUSTRALIAN AVE STE 600
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6237
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Country | US
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Telephone | 561-932-1670
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Fax | 561-932-1671
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Provider Business Mailing Address
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Address Line | 500 S AUSTRALIAN AVE STE 600
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6237
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Country | US
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Telephone | 561-932-1670
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Fax | 561-932-1671
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Authorized Official
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Title or Position | OWNER
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Name | JON REISTROFFER
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Credential |
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Telephone | 561-932-1670
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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 | 30211807
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License Number State | FL
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