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General NPI Number Information
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NPI Number | 1780727313
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Entity Type | Organization
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Legal Business Name | VITAS HEALTHCARE CORPORATION ATLANTIC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 12/28/2018
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Provider Practice Location Address
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Address Line | 99 HAWLEY LN MERRITT 8 CORPORATE PARK, SUITE 1204
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City | STRATFORD
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State | CT
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Zip | 06614
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Country | US
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Telephone | 203-455-3300
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Fax | 203-455-3350
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Provider Business Mailing Address
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Address Line | 3046 CORPORATE WAY
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City | MIRAMAR
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State | FL
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Zip | 33025-6547
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Country | US
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Telephone | 350-374-4143
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Fax | 305-350-6993
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Authorized Official
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Title or Position | CEO
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Name | NICHOLAS WESTFALL
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Credential |
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Telephone | 305-373-4141
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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 | 0017
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License Number State | CT
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