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General NPI Number Information
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NPI Number | 1447403985
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Entity Type | Organization
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Legal Business Name | REGAL HOME HEALTH OF BROWARD
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 2501 W HILLSBORO BLVD SUITE 106
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-8437
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Country | US
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Telephone | 954-427-1676
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Fax | 954-427-1677
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Provider Business Mailing Address
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Address Line | 16244 S MILITARY TRL SUITE 310
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City | DELRAY BEACH
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State | FL
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Zip | 33484-6534
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Country | US
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Telephone | 561-499-8382
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Fax | 561-819-5610
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Authorized Official
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Title or Position | CEO
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Name | MRS. FERIAL ANDRE
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Credential | RN
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Telephone | 561-499-8382
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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 | 299992643
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License Number State | FL
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