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General NPI Number Information
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NPI Number | 1679336713
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Entity Type | Organization
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Legal Business Name | ABUNDANT HOME CARE, LLC
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 6043 KIMBERLY BLVD STE R
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-2826
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Country | US
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Telephone | 954-216-4418
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Fax | 888-422-4193
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Provider Business Mailing Address
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Address Line | 935 SE 4TH AVE
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3414
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Country | US
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Telephone | 954-487-0612
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. TANEKA ELLIS-MOSLEY
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Credential |
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Telephone | 954-487-0612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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