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General NPI Number Information
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NPI Number | 1679901185
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Entity Type | Organization
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Legal Business Name | SHC HOME HEALTH SERVICES - JENSEN BEACH, LLC
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Dates
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Enumeration Date | 10/18/2013
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 759 SW FEDERAL HWY STE 300 ROYAL PALM FINANCIAL CENTER BLDG 3
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City | STUART
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State | FL
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Zip | 34994-2923
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Country | US
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Telephone | 772-287-5111
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Fax | 772-287-5115
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Provider Business Mailing Address
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Address Line | 759 SW FEDERAL HWY STE 300 ROYAL PALM FINANCIAL CENTER BLDG 3
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City | STUART
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State | FL
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Zip | 34994-2923
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Country | US
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Telephone | 772-287-5111
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Fax | 772-287-5115
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Authorized Official
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Title or Position | CFO
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Name | JOHN HARRISON
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Credential |
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Telephone | 502-568-7800
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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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