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General NPI Number Information
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NPI Number | 1538828397
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Entity Type | Organization
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Legal Business Name | SEVEN SEAS BY CHARLY
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Dates
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Enumeration Date | 12/09/2021
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 801 NORTHPOINT PKWY STE 66
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City | WEST PALM BEACH
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State | FL
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Zip | 33407-1994
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Country | US
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Telephone | 561-275-1766
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Fax | 561-619-6994
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Provider Business Mailing Address
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Address Line | 1541 BALFOUR POINT DR APT B
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-1922
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Country | US
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Telephone | 561-722-5199
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Fax | 561-619-6994
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES ANN KEY
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Credential | CARE PROVIDER
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Telephone | 561-722-5199
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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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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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