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General NPI Number Information
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NPI Number | 1114503810
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Entity Type | Organization
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Legal Business Name | NEIMAS HOME HEALTH CARE AGENCY CORP
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 2441 NW 93RD AVE STE 102
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City | DORAL
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State | FL
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Zip | 33172-4800
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Country | US
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Telephone | 305-613-0754
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Fax |
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Provider Business Mailing Address
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Address Line | 2441 NW 93RD AVE STE 102
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City | DORAL
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State | FL
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Zip | 33172-4800
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Country | US
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Telephone | 305-613-0754
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CFO
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Name | MRS. IRELYS HERNANDEZ
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Credential |
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Telephone | 305-613-0754
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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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