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General NPI Number Information
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NPI Number | 1962272831
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Entity Type | Organization
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Legal Business Name | PALM HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 01/03/2024
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 12361 80TH LN N
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City | WEST PALM BEACH
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State | FL
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Zip | 33412-2930
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Country | US
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Telephone | 561-260-5762
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Fax | 855-822-0441
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Provider Business Mailing Address
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Address Line | 5657 LAKE SHORE VILLAGE CIR
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City | LAKE WORTH
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State | FL
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Zip | 33463-7384
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Country | US
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Telephone | 561-985-1079
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Fax | 855-822-0441
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. NATALIE STEPHANIE LOWE
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Credential | MS, MHA, CCM
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Telephone | 561-985-1079
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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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