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General NPI Number Information
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NPI Number | 1669640280
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Entity Type | Organization
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Legal Business Name | AMBASSADOR HOME HEALTH INC.
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Dates
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Enumeration Date | 02/16/2008
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Last Update Date | 02/16/2008
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Provider Practice Location Address
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Address Line | 1898 W HILLSBORO BLVD SUITE E
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1434
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Country | US
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Telephone | 954-429-1424
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Fax |
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Provider Business Mailing Address
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Address Line | 1898 W HILLSBORO BLVD SUITE E
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City | DEERFIELD BEACH
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State | FL
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Zip | 33442-1434
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ELIZABETH JANE HEVERT
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Credential | RN CCM
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Telephone | 954-429-1424
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | P03000047727
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | P03000047727
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License Number State | FL
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