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General NPI Number Information
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NPI Number | 1124531553
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Entity Type | Organization
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Legal Business Name | HAZAH, INC
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Dates
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Enumeration Date | 11/07/2017
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Last Update Date | 11/07/2017
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Provider Practice Location Address
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Address Line | 1240 SE 28TH CT UNIT 202
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City | HOMESTEAD
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State | FL
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Zip | 33035-2332
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Country | US
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Telephone | 786-267-5997
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Fax |
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Provider Business Mailing Address
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Address Line | 1240 SE 28TH CT UNIT 202
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City | HOMESTEAD
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State | FL
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Zip | 33035-2332
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Country | US
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Telephone | 786-267-5997
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. BRIDGET NANETTE MOORE
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Credential | MS
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Telephone | 786-267-5997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State | FL
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Taxonomy #7
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | FL
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