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General NPI Number Information
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NPI Number | 1457973216
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Entity Type | Organization
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Legal Business Name | TREASURE COAST HOMECARE SPECIALISTS, LLC
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Dates
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Enumeration Date | 05/14/2020
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 424 GROVE ISLE CIR
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City | VERO BEACH
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State | FL
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Zip | 32962-8505
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Country | US
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Telephone | 863-532-5976
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Fax |
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Provider Business Mailing Address
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Address Line | 6544 ALEMENDRA
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City | FORT PIERCE
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State | FL
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Zip | 34951-4315
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Country | US
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Telephone | 863-532-5976
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Fax | 772-492-4582
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHRYSTAL L BAKER
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Credential |
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Telephone | 863-532-5976
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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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