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General NPI Number Information
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NPI Number | 1598067936
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Entity Type | Organization
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Legal Business Name | DEBORAH'S NURSING SERVICES, INC.
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Dates
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Enumeration Date | 11/17/2010
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Last Update Date | 10/02/2013
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Provider Practice Location Address
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Address Line | 1995 E OAKLAND PARK BLVD SUITE #115
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1147
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Country | US
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Telephone | 954-772-9660
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Fax | 954-772-2301
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Provider Business Mailing Address
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Address Line | 1995 E OAKLAND PARK BLVD SUITE #115
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1147
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Country | US
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Telephone | 954-772-9660
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Fax | 954-772-2301
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. KEVIN A JEMMOTT
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Credential | LHRM, LPN
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Telephone | 954-772-9660
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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 | HHA22069096
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License Number State | FL
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