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General NPI Number Information
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NPI Number | 1104010644
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA HOME CARE GROUP CORP
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 04/18/2009
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Provider Practice Location Address
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Address Line | 3408 W 84TH ST STE 117B
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City | HIALEAH
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State | FL
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Zip | 33018-4941
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Country | US
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Telephone | 786-900-0087
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Fax | 786-900-0088
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Provider Business Mailing Address
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Address Line | 3408 W 84TH ST STE 117B
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City | HIALEAH
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State | FL
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Zip | 33018-4941
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Country | US
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Telephone | 786-900-0087
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Fax | 786-900-0088
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Authorized Official
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Title or Position | ADMINISTRATOR/D.O.N.
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Name | ALINA M. DE VARONA
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Credential | R.N.
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Telephone | 786-900-0087
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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 | 299992853
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License Number State | FL
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