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General NPI Number Information
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NPI Number | 1124617832
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Entity Type | Organization
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Legal Business Name | INTEGRATED HOLDING INC.
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Dates
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Enumeration Date | 01/16/2021
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 520 NW 165TH ST STE 212E
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City | MIAMI
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State | FL
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Zip | 33169-6347
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Country | US
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Telephone | 305-454-7616
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Fax | 888-651-4623
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Provider Business Mailing Address
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Address Line | 520 NW 165TH ST STE 212E
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City | MIAMI
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State | FL
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Zip | 33169-6347
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Country | US
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Telephone | 305-454-7616
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Fax | 888-651-4623
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Authorized Official
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Title or Position | OWNER
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Name | OLALEYE OLAWALE
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Credential |
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Telephone | 305-454-7616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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