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General NPI Number Information
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NPI Number | 1598210890
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Entity Type | Organization
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Legal Business Name | LEDER HCS INC
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Dates
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Enumeration Date | 08/17/2016
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Last Update Date | 08/17/2016
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Provider Practice Location Address
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Address Line | 5282 ROBBIE CT
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-9108
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Country | US
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Telephone | 561-672-5092
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Fax |
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Provider Business Mailing Address
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Address Line | 5282 ROBBIE CT
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City | WEST PALM BEACH
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State | FL
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Zip | 33415-9108
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARCOS ABREU HERNANDEZ
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Credential |
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Telephone | 561-672-5092
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 234174
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License Number State | FL
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