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General NPI Number Information
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NPI Number | 1548716327
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Entity Type | Organization
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Legal Business Name | JASMINE NOEL
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 1600 S FEDERAL HWY SUITE 205
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City | POMPANO BEACH
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State | FL
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Zip | 33062
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Country | US
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Telephone | 954-532-6655
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Fax | 954-532-7001
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Provider Business Mailing Address
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Address Line | 1600 S FEDERAL HWY SUITE 205
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City | POMPANO BEACH
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State | FL
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Zip | 33062
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Country | US
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Telephone | 954-913-8605
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ DIRECTOR
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Name | MISS JASMINE C NOEL
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Credential |
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Telephone | 954-913-8605
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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 | 624181
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License Number State | FL
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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 | 696415
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License Number State | FL
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