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General NPI Number Information
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NPI Number | 1124139209
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Entity Type | Organization
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Legal Business Name | CAREFLORIDA HOME HEALTH SERVICES INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 02/09/2012
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Provider Practice Location Address
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Address Line | 4180 W 12TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-4158
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Country | US
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Telephone | 305-822-2552
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Fax | 305-822-5323
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Provider Business Mailing Address
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Address Line | 4180 WEST 41 AV
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City | HIALEAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 305-822-2552
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Fax | 305-822-5323
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTONIO T BALESTENA
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Credential |
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Telephone | 305-822-2552
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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 | 299992482
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License Number State | FL
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