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General NPI Number Information
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NPI Number | 1740865229
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Entity Type | Organization
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Legal Business Name | PULSE HOME CARE LLC
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Dates
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Enumeration Date | 03/16/2021
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Last Update Date | 03/16/2021
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Provider Practice Location Address
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Address Line | 7643 GATE PARKWAY SUITE 104 UNIT 1298
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City | JACKSONVILLE
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State | FL
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Zip | 32256
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Country | US
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Telephone | 904-463-3771
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Fax |
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Provider Business Mailing Address
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Address Line | 12620 BEACH BLVD, SUITE 3 UNIT 322
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City | JACKSONVILLE
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State | FL
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Zip | 32246-7130
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Country | US
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Telephone | 904-463-3771
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LA'QUITTA S BOUKNIGHT-RIVERS
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Credential |
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Telephone | 904-463-3771
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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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