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General NPI Number Information
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NPI Number | 1902153570
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Entity Type | Organization
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Legal Business Name | MICHELLE UGALDE
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 08/13/2012
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Provider Practice Location Address
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Address Line | 4792 VICTORIA CIR
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-7841
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Country | US
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Telephone | 561-329-9656
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Fax | 561-478-2818
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Provider Business Mailing Address
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Address Line | 4792 VICTORIA CIR
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-7841
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Country | US
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Telephone | 561-329-9656
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Fax | 561-478-2818
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Authorized Official
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Title or Position | INDEPENDENT NURSING CONTRACTOR
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Name | MRS. MICHELLE LYNNE UGALDE
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Credential | RN, MSN
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Telephone | 561-329-9656
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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 | FL
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