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General NPI Number Information
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NPI Number | 1932090370
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Entity Type | Organization
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Legal Business Name | SUBEN HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 4565 WILLOW RUN WAY
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City | WELLINGTON
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State | FL
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Zip | 33467-1178
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Country | US
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Telephone | 561-545-1523
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Fax | 561-545-1523
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Provider Business Mailing Address
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Address Line | 4565 WILLOW RUN WAY
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City | WELLINGTON
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State | FL
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Zip | 33467-1178
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Country | US
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Telephone | 561-255-4106
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Fax |
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Authorized Official
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Title or Position | ADMIN
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Name | MRS. OLIVIA BECKFORD
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Credential |
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Telephone | 561-255-1406
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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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