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General NPI Number Information
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NPI Number | 1932541554
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Entity Type | Organization
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Legal Business Name | BROWARD COUNTY HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 07/24/2013
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Last Update Date | 06/09/2015
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Provider Practice Location Address
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Address Line | 3625 W BROWARD BLVD #120
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1082
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Country | US
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Telephone | 954-900-4436
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Fax |
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Provider Business Mailing Address
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Address Line | 3625 W BROWARD BLVD #120
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-1082
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Country | US
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Telephone | 954-900-4436
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANDREW CADESKY
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Credential |
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Telephone | 954-900-4436
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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 | 299994195
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License Number State | FL
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