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General NPI Number Information
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NPI Number | 1972612505
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Entity Type | Organization
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Legal Business Name | VIRTUE HEALTH CARE SERVICES, INC
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 9050 PINES BLVD STE 359
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6413
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Country | US
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Telephone | 954-989-2222
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Fax | 954-343-3500
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Provider Business Mailing Address
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Address Line | 9050 PINES BLVD STE 359
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6413
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Country | US
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Telephone | 954-989-2222
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Fax | 954-343-3500
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. FREDELINE FENELON
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Credential | MBA - RN
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Telephone | 954-989-2222
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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 | 299992243
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License Number State | FL
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