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General NPI Number Information
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NPI Number | 1437310398
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Entity Type | Organization
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Legal Business Name | MYCARE HOME HEALTH PALM BEACH, INC
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 1501 S PALMWAY
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City | LAKE WORTH
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State | FL
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Zip | 33460-5765
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Country | US
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Telephone | 561-818-3022
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Fax | 561-533-6630
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Provider Business Mailing Address
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Address Line | 1501 S PALMWAY
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City | LAKE WORTH
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State | FL
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Zip | 33460-5765
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Country | US
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Telephone | 561-818-3022
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Fax | 561-533-6630
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Authorized Official
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Title or Position | PRESIDENT
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Name | GLENN PFAFF
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Credential | RN
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Telephone | 561-818-3022
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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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