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General NPI Number Information
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NPI Number | 1487960449
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Entity Type | Organization
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Legal Business Name | SENIOR SERVICES OF PALM BEACH, LLC
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 08/27/2010
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Provider Practice Location Address
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Address Line | 8401 LAKE WORTH RD STE 102
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City | LAKE WORTH
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State | FL
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Zip | 33467-2427
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Country | US
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Telephone | 561-267-4725
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Fax | 561-584-6111
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Provider Business Mailing Address
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Address Line | 8401 LAKE WORTH RD STE 102
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City | LAKE WORTH
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State | FL
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Zip | 33467-2427
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Country | US
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Telephone | 561-267-4725
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Fax | 561-584-6111
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. VIVIAN C TORRES
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Credential |
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Telephone | 561-267-4725
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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 | 299993642
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License Number State | FL
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