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General NPI Number Information
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NPI Number | 1013575505
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Entity Type | Organization
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Legal Business Name | AVIVA NURSING SERVICES INC.
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Dates
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Enumeration Date | 05/30/2019
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 7900 OAK LANE SUITE 400
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City | MIAMI LAKES
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State | FL
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Zip | 33016
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Country | US
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Telephone | 305-889-7041
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Fax | 786-431-4061
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Provider Business Mailing Address
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Address Line | 2655 E OAKLAND PARK BLVD SUITE 5
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306
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Country | US
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Telephone | 786-237-8420
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Fax | 786-431-4061
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Authorized Official
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Title or Position | OWNER
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Name | MATEO MARTINEZ
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Credential |
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Telephone | 954-993-6299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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