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General NPI Number Information
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NPI Number | 1558767608
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Entity Type | Organization
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Legal Business Name | CONGRUENT HEARTS
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Dates
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Enumeration Date | 11/17/2014
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Last Update Date | 05/03/2017
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Provider Practice Location Address
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Address Line | 1398 4TH ST NE
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City | WINTER HAVEN
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State | FL
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Zip | 33881-2441
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Country | US
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Telephone | 863-808-6061
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Fax |
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Provider Business Mailing Address
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Address Line | 1916 EMILY BLVD
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City | WINTER HAVEN
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State | FL
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Zip | 33884-0005
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Country | US
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Telephone | 863-808-6061
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. APRIL DENISE DENMARK
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Credential | HOMEHEALTH
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Telephone | 863-808-6061
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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 | 1103
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License Number State | FL
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