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General NPI Number Information
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NPI Number | 1437451200
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Entity Type | Organization
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Legal Business Name | BOYETTE HOME HEALTH SERVICES
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Dates
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Enumeration Date | 11/29/2010
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Last Update Date | 11/29/2010
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Provider Practice Location Address
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Address Line | 8944 JOHN HAMM RD
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City | MILTON
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State | FL
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Zip | 32583-8331
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Country | US
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Telephone | 850-313-7850
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Fax | 850-983-1369
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Provider Business Mailing Address
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Address Line | 8944 JOHN HAMM RD
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City | MILTON
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State | FL
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Zip | 32583-8331
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Country | US
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Telephone | 850-313-7850
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Fax | 850-983-1369
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. SHANNON MARIE BOYETTE
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Credential | M.A.
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Telephone | 850-313-7850
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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 | FL
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