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General NPI Number Information
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NPI Number | 1134237324
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Entity Type | Organization
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Legal Business Name | JEM HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 08/28/2006
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 1380 NE MIAMI GARDENS DRIVE SUITE 205
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City | MIAMI
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State | FL
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Zip | 33179
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Country | US
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Telephone | 305-949-8380
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Fax | 305-949-4662
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Provider Business Mailing Address
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Address Line | 1380 NE MIAMI GARDENS DRIVE SUITE 205
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City | MIAMI
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State | FL
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Zip | 33179
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Country | US
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Telephone | 305-949-8380
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Fax | 305-949-4662
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Authorized Official
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Title or Position | CEO
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Name | KHALED EL BEBLAWY
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Credential |
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Telephone | 305-949-8380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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