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General NPI Number Information
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NPI Number | 1992848543
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Entity Type | Organization
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Legal Business Name | VITAS HEALTHCARE CORPORATION ATLANTIC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 12/28/2018
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Provider Practice Location Address
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Address Line | 1787 SENTRY PKWY W BLDG16, SUITE 400
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City | BLUE BELL
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State | PA
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Zip | 19422-2239
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Country | US
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Telephone | 610-260-6020
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Fax | 610-238-4980
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Provider Business Mailing Address
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Address Line | 3046 CORPORATE WAY
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City | MIRAMAR
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State | FL
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Zip | 33025-6547
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Country | US
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Telephone | 305-374-4143
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NICHOLAS WESTFALL
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Credential |
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Telephone | 305-374-4143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 157199
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License Number State | PA
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