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General NPI Number Information
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NPI Number | 1982687968
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Entity Type | Organization
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Legal Business Name | FIRST HEALTH SYSTEMS
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 02/21/2010
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Provider Practice Location Address
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Address Line | 7450 GRIFFIN RD SUITE 240
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City | DAVIE
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State | FL
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Zip | 33314-4104
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Country | US
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Telephone | 954-641-9440
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Fax | 954-641-9448
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Provider Business Mailing Address
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Address Line | 7450 GRIFFIN RD SUITE 240
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City | DAVIE
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State | FL
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Zip | 33314-4104
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Country | US
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Telephone | 954-641-9440
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Fax | 954-641-9448
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. GOLDIE PROPHETE
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Credential |
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Telephone | 954-641-9440
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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 | HHA299991454
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License Number State | FL
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