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General NPI Number Information
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NPI Number | 1710265129
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL NURSES HOMECARE, INC.
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 220 CONGRESS PARK DR STE 136
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4605
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Country | US
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Telephone | 561-362-6620
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Fax | 561-431-2691
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Provider Business Mailing Address
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Address Line | 220 CONGRESS PARK DR STE 136
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4605
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Country | US
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Telephone | 561-362-6620
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Fax | 561-431-2691
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROS ANNE JOAQUIN
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Credential |
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Telephone | 561-735-1895
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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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