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General NPI Number Information
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NPI Number | 1639500507
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Entity Type | Organization
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Legal Business Name | WHITSYMS HOME HEALTH CARE AGENCY, LLC
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Dates
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Enumeration Date | 12/03/2013
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 2605 W ATLANTIC AVE SUITE 101B
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4413
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Country | US
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Telephone | 561-279-0808
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Fax | 561-279-2282
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Provider Business Mailing Address
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Address Line | 2605 W ATLANTIC AVE SUITE 101B
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4413
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Country | US
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Telephone | 561-279-0808
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Fax | 561-279-2282
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. DONOVAN B ANDERSON
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Credential |
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Telephone | 561-279-0808
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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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