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General NPI Number Information
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NPI Number | 1073430336
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Entity Type | Organization
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Legal Business Name | IC NURSING SERVICES INC
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Dates
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Enumeration Date | 06/29/2026
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Last Update Date | 06/29/2026
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Provider Practice Location Address
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Address Line | 1601 N PALM AVE STE 306C
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-3242
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Country | US
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Telephone | 954-589-5079
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Fax | 954-301-0791
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Provider Business Mailing Address
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Address Line | 1601 N PALM AVE STE 306C
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City | PEMBROKE PINES
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State | FL
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Zip | 33026-3242
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Country | US
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Telephone | 954-589-5079
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Fax | 954-301-0791
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Authorized Official
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Title or Position | OWNER
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Name | ILIANA CAMEJO
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Credential |
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Telephone | 305-978-2972
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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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