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General NPI Number Information
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NPI Number | 1073268900
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Entity Type | Organization
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Legal Business Name | RESTORATION HOME CARE LLC
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 110 E BROWARD BLVD STE 1700
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-3500
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Country | US
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Telephone | 954-678-4770
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Fax | 954-271-3196
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Provider Business Mailing Address
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Address Line | 110 E BROWARD BLVD STE 1700
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-3500
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Country | US
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Telephone | 954-678-4770
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Fax | 954-271-3196
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Authorized Official
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Title or Position | OWNER / ADMINISTRATOR
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Name | ISAAC HOZA
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Credential |
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Telephone | 954-678-4770
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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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