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General NPI Number Information
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NPI Number | 1083319461
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Entity Type | Organization
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Legal Business Name | DYNASTY HOME HEALTH LLC
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Dates
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Enumeration Date | 04/04/2023
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 5406 HOOVER BLVD STE 5
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City | TAMPA
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State | FL
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Zip | 33634-5330
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Country | US
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Telephone | 813-331-5595
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Fax |
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Provider Business Mailing Address
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Address Line | 5406 HOOVER BLVD STE 5
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City | TAMPA
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State | FL
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Zip | 33634-5330
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Country | US
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Telephone | 813-331-5595
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | JANY MEDEROS CABRERA
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Credential |
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Telephone | 813-331-5595
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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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