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General NPI Number Information
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NPI Number | 1962827246
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Entity Type | Organization
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Legal Business Name | CHRISTEL CARE INC.
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Dates
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Enumeration Date | 02/24/2014
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Last Update Date | 02/24/2014
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Provider Practice Location Address
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Address Line | 4973 BROADSTONE CIR
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-8217
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Country | US
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Telephone | 561-478-8648
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Fax |
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Provider Business Mailing Address
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Address Line | 4973 BROADSTONE CIR
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City | WEST PALM BEACH
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State | FL
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Zip | 33417-8217
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Country | US
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Telephone | 561-478-8648
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RICARDO COX
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Credential |
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Telephone | 561-707-9052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | AL10961
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License Number State | FL
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