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General NPI Number Information
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NPI Number | 1083071500
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Entity Type | Organization
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Legal Business Name | A&M HOMEMAKER SERVICES LLC
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Dates
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Enumeration Date | 01/28/2016
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Last Update Date | 02/13/2016
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Provider Practice Location Address
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Address Line | 14129 SW 168TH LN
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City | MIAMI
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State | FL
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Zip | 33177-8004
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Country | US
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Telephone | 786-303-0645
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Fax |
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Provider Business Mailing Address
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Address Line | 14129 SW 168TH LN
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City | MIAMI
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State | FL
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Zip | 33177-8004
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Country | US
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Telephone | 786-303-0645
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS MERCEDES BUERGO I
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Credential | RBT/HHA
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Telephone | 786-303-0645
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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