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General NPI Number Information
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NPI Number | 1134661911
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Entity Type | Organization
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Legal Business Name | INTEGRATED HEALTH SERVICES OF AMERICA
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Dates
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Enumeration Date | 11/10/2016
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Last Update Date | 11/10/2016
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Provider Practice Location Address
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Address Line | 601 SE 5TH CT APT 201
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2943
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Country | US
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Telephone | 954-309-2548
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Fax |
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Provider Business Mailing Address
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Address Line | 601 SE 5TH CT APT 201
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City | FORT LAUDERDALE
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State | FL
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Zip | 33301-2943
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Country | US
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Telephone | 954-309-2548
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | LEIDA ALICEA
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Credential |
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Telephone | 954-309-2548
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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 | FL
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