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General NPI Number Information
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NPI Number | 1821352063
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Entity Type | Organization
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Legal Business Name | HOMEWOOD HOME HEALTH LLC
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Dates
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Enumeration Date | 07/03/2012
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Last Update Date | 07/03/2012
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Provider Practice Location Address
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Address Line | 6894 LAKE WORTH RD SUITE 207
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City | LAKE WORTH
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State | FL
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Zip | 33467-2964
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Country | US
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Telephone | 561-275-7500
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Fax | 561-275-7575
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Provider Business Mailing Address
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Address Line | 6894 LAKE WORTH RD SUITE 207
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City | LAKE WORTH
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State | FL
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Zip | 33467-2964
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Country | US
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Telephone | 561-275-7500
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Fax | 561-275-7575
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. MATHEW JOHN PAREL
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Credential | PT
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Telephone | 954-973-3800
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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 | 299993841
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License Number State | FL
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