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General NPI Number Information
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NPI Number | 1063445583
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Entity Type | Organization
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Legal Business Name | GENTLE CARE HOME HEALTH, LLC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 7330 W 20TH AVE
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City | HIALEAH
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State | FL
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Zip | 33016-1835
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Country | US
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Telephone | 305-822-9188
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Fax | 305-822-9132
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Provider Business Mailing Address
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Address Line | 7330 WEST 20 AVENUE
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City | HIALEAH
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State | FL
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Zip | 33016-4590
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Country | US
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Telephone | 305-822-9188
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Fax | 305-822-9188
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. YADELKIS CRUZ
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Credential |
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Telephone | 305-822-9188
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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 | 299991948
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License Number State | FL
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