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General NPI Number Information
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NPI Number | 1538878319
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Entity Type | Organization
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Legal Business Name | MY COMPANION HOME CARE, CORP.
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 4860 REGINA CT
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-9165
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Country | US
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Telephone | 561-618-7395
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 540801
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City | GREENACRES
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State | FL
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Zip | 33454-0801
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Country | US
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Telephone | 561-618-7395
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SHIRLEY NAZON
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Credential |
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Telephone | 561-618-7395
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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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