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General NPI Number Information
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NPI Number | 1659652493
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Entity Type | Organization
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Legal Business Name | COMPLETE HOME CARE REGISTRY INC
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Dates
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Enumeration Date | 09/07/2011
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Last Update Date | 09/07/2011
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Provider Practice Location Address
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Address Line | 1210 S FEDERAL HWY 202
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-6044
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Country | US
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Telephone | 561-733-8817
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Fax | 561-752-9270
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Provider Business Mailing Address
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Address Line | 1210 S FEDERAL HWY 202
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-6044
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Country | US
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Telephone | 561-733-8817
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Fax | 561-752-9270
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BAHER HABIB
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Credential | PHYSICAL THERAPIST
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Telephone | 561-742-2552
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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 | FL
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