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General NPI Number Information
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NPI Number | 1083416408
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Entity Type | Organization
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Legal Business Name | 1ST HOME CARE INC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 4801 S UNIVERSITY DR STE 250
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City | DAVIE
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State | FL
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Zip | 33328-3836
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Country | US
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Telephone | 786-496-0215
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Fax | 954-866-5906
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Provider Business Mailing Address
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Address Line | 4801 S UNIVERSITY DR STE 250
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City | DAVIE
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State | FL
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Zip | 33328-3836
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Country | US
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Telephone | 786-496-0215
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Fax | 954-866-5906
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YANEYSIS E ALCAZ
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Credential |
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Telephone | 954-658-5653
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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