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General NPI Number Information
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NPI Number | 1932361631
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Entity Type | Organization
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Legal Business Name | CARESERVICES OF THE HEARTLAND LLC
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Dates
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Enumeration Date | 06/25/2008
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 3710 CORPOREX PARK DR SUITE 300
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City | TAMPA
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State | FL
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Zip | 33619-1189
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Country | US
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Telephone | 813-630-4336
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Fax | 813-864-1003
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Provider Business Mailing Address
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Address Line | 2400 HIGH RIDGE RD SUITE 101 AND 103
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-8725
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Country | US
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Telephone | 561-244-0220
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Fax | 561-244-0221
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Authorized Official
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Title or Position | CEO
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Name | MS. MAXINE HOCHHAUSER
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Credential |
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Telephone | 561-244-0220
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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 | 6509037-01
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License Number State | FL
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