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General NPI Number Information
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NPI Number | 1609769520
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Entity Type | Organization
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Legal Business Name | PRIVATE CARE, LLC.
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 2001 PALM BEACH LAKES BLVD STE 502Q
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6510
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Country | US
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Telephone | 561-807-5150
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Fax | 561-807-5150
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Provider Business Mailing Address
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Address Line | 2001 PALM BEACH LAKES BLVD STE 502Q
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6510
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Country | US
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Telephone | 561-807-5150
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Fax | 561-807-5150
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Authorized Official
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Title or Position | MEMBER
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Name | MR. JANVIER WIDMAIER
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Credential |
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Telephone | 561-221-5605
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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 |
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License Number State |
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