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General NPI Number Information
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NPI Number | 1710531769
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Entity Type | Organization
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Legal Business Name | SHEPHERD HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/29/2019
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Last Update Date | 07/29/2019
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Provider Practice Location Address
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Address Line | 12715 CLOCK TOWER PKWY
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City | HUDSON
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State | FL
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Zip | 34667-2504
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Country | US
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Telephone | 954-274-9113
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Fax | 866-924-5296
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Provider Business Mailing Address
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Address Line | 12715 CLOCK TOWER PKWY
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City | HUDSON
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State | FL
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Zip | 34667-2504
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Country | US
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Telephone | 954-274-9113
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Fax | 866-924-5296
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Authorized Official
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Title or Position | CEO
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Name | MRS. MARTIALE FAUSTIN
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Credential | RN
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Telephone | 954-274-9113
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 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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