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General NPI Number Information
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NPI Number | 1568115327
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Entity Type | Organization
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Legal Business Name | BOAZ COMPANION SERVICES LLC
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 840 N LAUDERDALE AVE STE 301G
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-2001
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Country | US
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Telephone | 954-519-3504
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Fax |
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Provider Business Mailing Address
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Address Line | 840 N LAUDERDALE AVE STE 301G
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-2001
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Country | US
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Telephone | 954-860-6896
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | EMANUEL R SINGLETARY
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Credential |
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Telephone | 954-860-6896
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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