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General NPI Number Information
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NPI Number | 1659776490
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND QUALITY CARE INC.
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Dates
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Enumeration Date | 10/22/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 8606 SE AURORA WAY
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City | HOBE SOUND
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State | FL
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Zip | 33455-6704
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Country | US
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Telephone | 772-324-1790
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Fax | 772-546-7186
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Provider Business Mailing Address
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Address Line | 8606 SE AURORA WAY
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City | HOBE SOUND
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State | FL
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Zip | 33455-6704
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Country | US
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Telephone | 772-324-1790
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Fax | 772-546-7186
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Authorized Official
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Title or Position | CEO
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Name | MS. JILL MARI BARLOW DESOUZA
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Credential |
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Telephone | 772-324-1790
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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 | 15217666
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License Number State | FL
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