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General NPI Number Information
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NPI Number | 1134922859
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Entity Type | Organization
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Legal Business Name | ISMART HOME CARE
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Dates
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Enumeration Date | 03/28/2025
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 2598 E SUNRISE BLVD
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City | FT LAUDERDALE
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State | FL
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Zip | 33304-3230
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Country | US
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Telephone | 855-476-2780
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Fax |
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Provider Business Mailing Address
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Address Line | 30 UNION ST
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City | ELIZABETH
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State | NJ
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Zip | 07202-2177
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Country | US
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Telephone | 855-476-2780
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Fax | 855-476-2780
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Authorized Official
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Title or Position | CEO
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Name | TYWAN D MATA
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Credential |
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Telephone | 908-808-2126
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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 |
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Taxonomy #2
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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