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General NPI Number Information
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NPI Number | 1699292979
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Entity Type | Organization
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Legal Business Name | VITAE SERVICES OF THE PALM BEACHES, INC.
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Dates
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Enumeration Date | 08/28/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 517 INDUSTRAIL AVE.
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City | BOYNTON BEACH
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State | FL
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Zip | 33426
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Country | US
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Telephone | 561-732-4559
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Fax | 561-732-6443
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Provider Business Mailing Address
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Address Line | 517 INDUSTRAIL AVE.
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City | BOYNTON BEACH
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State | FL
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Zip | 33426
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Country | US
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Telephone | 561-732-4559
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Fax | 561-732-6443
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TERRY LYNN IIAMES
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Credential |
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Telephone | 561-732-4559
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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 | 299991082
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License Number State | FL
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