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General NPI Number Information
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NPI Number | 1467708537
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Entity Type | Organization
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Legal Business Name | BH PALM, INC,
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Dates
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Enumeration Date | 07/26/2012
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Last Update Date | 07/26/2012
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Provider Practice Location Address
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Address Line | 327 S WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32796-3593
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Country | US
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Telephone | 321-268-3310
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Fax | 321-268-3320
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Provider Business Mailing Address
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Address Line | 327 S WASHINGTON AVE
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City | TITUSVILLE
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State | FL
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Zip | 32796-3593
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Country | US
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Telephone | 321-268-3310
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Fax | 321-268-3320
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Authorized Official
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Title or Position | OWNER
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Name | MS. PATRICIA A BELL
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Credential |
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Telephone | 321-268-3310
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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 | 299992918
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License Number State | FL
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