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General NPI Number Information
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NPI Number | 1689270126
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Entity Type | Organization
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Legal Business Name | SEEDS HOME CARE LLC
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 12/09/2020
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Provider Practice Location Address
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Address Line | 750 E SAMPLE RD # B3-236
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5144
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Country | US
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Telephone | 954-388-9811
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Fax |
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Provider Business Mailing Address
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Address Line | 750 E SAMPLE RD # B3-236
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City | POMPANO BEACH
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State | FL
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Zip | 33064-5144
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Country | US
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Telephone | 954-388-9811
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Fax |
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Authorized Official
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Title or Position | EMPLOYER
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Name | MRS. SUZIE ECCLESIASTE
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Credential | RN
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Telephone | 954-729-3378
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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 |
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License Number State |
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