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General NPI Number Information
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NPI Number | 1457727059
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Entity Type | Organization
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Legal Business Name | ANOINTED CARE AGENCY, LLC
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 8203 S PALM DR 244
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-4593
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Country | US
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Telephone | 786-554-4988
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Fax |
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Provider Business Mailing Address
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Address Line | 8203 S PALM DR 244
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-4593
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Country | US
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Telephone | 786-554-4988
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Fax |
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Authorized Official
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Title or Position | NURSE
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Name | TEEAH ELIZABETH WILLIAMS
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Credential | RN
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Telephone | 786-554-4988
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | RN9276879
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License Number State | FL
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