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General NPI Number Information
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NPI Number | 1780167726
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Entity Type | Organization
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Legal Business Name | NEW BEGINNING HOME HEALTH CARE SERVICES LIMITED LIABILITY COMPANY
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Dates
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Enumeration Date | 09/14/2018
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 446 NW SHEFFIELD CIR
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City | ST LUCIE WEST
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State | FL
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Zip | 34983-3425
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Country | US
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Telephone | 631-796-9293
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Fax | 561-584-8517
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Provider Business Mailing Address
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Address Line | 9314 FOREST HILL BLVD STE 210
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City | WELLINGTON
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State | FL
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Zip | 33411-6577
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Country | US
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Telephone | 631-796-9293
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Fax | 561-584-8517
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA PACAUD BREZAULT
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Credential |
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Telephone | 631-796-9293
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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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