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General NPI Number Information
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NPI Number | 1477709079
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Entity Type | Organization
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Legal Business Name | FIRST CLASS HOME HEALTH SERVICES INC.
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 08/14/2008
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Provider Practice Location Address
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Address Line | 4330 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-4829
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Country | US
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Telephone | 954-733-0007
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Fax | 954-714-8338
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Provider Business Mailing Address
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Address Line | 4330 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-4829
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Country | US
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Telephone | 954-733-0007
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Fax | 954-714-8338
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MARIE ANTOINETTE DHU
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Credential |
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Telephone | 954-733-0007
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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 | HHA20352096
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License Number State | FL
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