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General NPI Number Information
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NPI Number | 1558743591
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Entity Type | Organization
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Legal Business Name | AFFORDABLE CARE AT HOME
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Dates
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Enumeration Date | 06/26/2015
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Last Update Date | 06/26/2015
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Provider Practice Location Address
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Address Line | 1125 12TH ST SUITE F
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City | VERO BEACH
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State | FL
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Zip | 32960-3791
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Country | US
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Telephone | 772-925-8560
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 12TH ST SUITE F
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City | VERO BEACH
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State | FL
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Zip | 32960-3791
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Country | US
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Telephone | 772-925-8560
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Fax |
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Authorized Official
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Title or Position | CFO/OWNER
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Name | ERIC YOUNG
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Credential |
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Telephone | 772-925-8560
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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 | 30211786
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License Number State | FL
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