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General NPI Number Information
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NPI Number | 1063090876
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Entity Type | Organization
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Legal Business Name | DIBAR HOME CARE , LLC
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 04/08/2021
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Provider Practice Location Address
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Address Line | 10610 SW 199TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33157-8515
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Country | US
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Telephone | 786-818-8691
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Fax |
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Provider Business Mailing Address
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Address Line | 10610 SW 199TH ST BAY 199TH
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City | CUTLER BAY
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State | FL
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Zip | 33157-8515
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Country | US
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Telephone | 786-818-8691
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Fax | 305-330-9080
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Authorized Official
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Title or Position | OWNER
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Name | MORAIMA DIAZ
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Credential |
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Telephone | 786-818-8691
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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 |
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License Number State |
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