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General NPI Number Information
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NPI Number | 1730975541
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Entity Type | Organization
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Legal Business Name | AFFINITY CARE OF THE TREASURE COAST LLC
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Dates
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Enumeration Date | 04/17/2025
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1860 SW FOUNTAINVIEW BLVD STE 320
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-4528
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Country | US
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Telephone | 772-251-2999
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Fax | 772-380-4587
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Provider Business Mailing Address
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Address Line | 1860 SW FOUNTAINVIEW BLVD STE 320
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City | PORT ST LUCIE
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State | FL
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Zip | 34986-4528
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Country | US
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Telephone | 772-251-2999
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Fax | 772-380-4587
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Authorized Official
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Title or Position | CEO
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Name | SAMUEL STERN
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Credential |
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Telephone | 510-499-9977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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