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General NPI Number Information
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NPI Number | 1922548163
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Entity Type | Organization
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Legal Business Name | CINTA HEALTH CARE, LLC
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Dates
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Enumeration Date | 03/07/2017
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Last Update Date | 03/07/2017
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Provider Practice Location Address
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Address Line | 6700 PINES BLVD
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-7544
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Country | US
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Telephone | 561-729-1541
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Fax |
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Provider Business Mailing Address
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Address Line | 4919 PINE KNOTT LN
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-4619
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Country | US
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Telephone | 561-729-1541
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | STACEY DEZARD
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Credential |
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Telephone | 561-729-1541
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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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