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General NPI Number Information
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NPI Number | 1437841459
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Entity Type | Organization
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Legal Business Name | BOCA GENERAL HOME CARE INC
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Dates
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Enumeration Date | 05/26/2023
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Last Update Date | 05/26/2023
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Provider Practice Location Address
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Address Line | 1500 NW 10TH AVE STE 101
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City | BOCA RATON
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State | FL
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Zip | 33486-1344
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Country | US
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Telephone | 561-779-6039
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 NW 10TH AVE STE 101
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City | BOCA RATON
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State | FL
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Zip | 33486-1344
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Country | US
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Telephone | 561-779-6039
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | CAROLYN SHADA
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Credential |
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Telephone | 561-779-6039
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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