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General NPI Number Information
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NPI Number | 1881049351
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Entity Type | Organization
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Legal Business Name | OPEN HEART HOME CARE SERVICES INC
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Dates
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Enumeration Date | 05/03/2016
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 3929 N ANDREWS AVE
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City | OAKLAND PARK
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State | FL
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Zip | 33309-5239
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Country | US
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Telephone | 954-999-1256
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Fax |
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Provider Business Mailing Address
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Address Line | 5775 NW 58TH AVE APT G105
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City | TAMARAC
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State | FL
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Zip | 33319-2341
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Country | US
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Telephone | 954-825-9385
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHOSTENE FRANCOIS
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Credential |
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Telephone | 954-825-9385
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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 | 234405
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License Number State | FL
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