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General NPI Number Information
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NPI Number | 1912461583
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Entity Type | Organization
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Legal Business Name | REDEEMING CARE OF SOUTH FLORIDA INC.
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 8461 LAKE WORTH RD STE 1-233
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City | LAKE WORTH
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State | FL
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Zip | 33467-2474
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Country | US
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Telephone | 561-340-1400
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Fax | 561-340-1402
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Provider Business Mailing Address
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Address Line | 8461 LAKE WORTH RD STE 1-233
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City | LAKE WORTH
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State | FL
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Zip | 33467-2474
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Country | US
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Telephone | 561-340-1400
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Fax | 561-340-1402
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Authorized Official
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Title or Position | PRESIDENT
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Name | TREVOR HARIOTT
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Credential |
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Telephone | 484-903-1397
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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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