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General NPI Number Information
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NPI Number | 1770041303
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Entity Type | Organization
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Legal Business Name | HELPCARE PRIVATE DUTY SERVICES LLC
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Dates
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Enumeration Date | 03/02/2019
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Last Update Date | 03/02/2019
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Provider Practice Location Address
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Address Line | 850 SW DUNCAN TER
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-1961
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Country | US
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Telephone | 772-249-4214
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Fax |
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Provider Business Mailing Address
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Address Line | 850 SW DUNCAN TER
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34953-1961
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Country | US
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Telephone | 772-626-9129
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Fax | 772-249-4214
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PATRICE MARSHALL
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Credential |
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Telephone | 772-626-9129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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