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General NPI Number Information
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NPI Number | 1629927884
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Entity Type | Organization
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Legal Business Name | AT-HOME CARE SERVICES
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 2861 SOMERSET DR APT F115
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-1975
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Country | US
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Telephone | 954-608-5111
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Fax |
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Provider Business Mailing Address
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Address Line | 2861 SOMERSET DR APT F115
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33311-1975
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Country | US
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Telephone | 954-608-5111
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | THOMAS BOEHM JR.
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Credential |
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Telephone | 954-818-8202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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