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General NPI Number Information
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NPI Number | 1437047578
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Entity Type | Organization
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Legal Business Name | BRIDGEWATER HOME CARE LLC
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 7360 ANDORRA PL
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City | BOCA RATON
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State | FL
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Zip | 33433-4952
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Country | US
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Telephone | 561-922-0035
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Fax | 754-220-4142
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Provider Business Mailing Address
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Address Line | 7360 ANDORRA PL
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City | BOCA RATON
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State | FL
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Zip | 33433-4952
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Country | US
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Telephone | 561-922-0035
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Fax | 754-220-4142
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Authorized Official
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Title or Position | COO
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Name | HENRY BENSMIHEN
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Credential |
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Telephone | 561-221-4258
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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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