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General NPI Number Information
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NPI Number | 1063649044
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Entity Type | Organization
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Legal Business Name | HEALING HANDS HEALTH CARE, INC.
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Dates
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Enumeration Date | 06/17/2009
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 1711 W 38TH PL UNIT 1107-B
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City | HIALEAH
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State | FL
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Zip | 33012-7077
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Country | US
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Telephone | 305-817-0888
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Fax | 305-826-5075
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Provider Business Mailing Address
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Address Line | 1711 W 38TH PL UNIT 1107-B
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City | HIALEAH
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State | FL
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Zip | 33012-7077
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Country | US
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Telephone | 305-817-0888
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Fax | 305-826-5075
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Authorized Official
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Title or Position | OWNER
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Name | MS. WANDA ROSADO
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Credential | RN
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Telephone | 305-817-0888
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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 | 19966301
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License Number State | FL
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