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General NPI Number Information
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NPI Number | 1144494956
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Entity Type | Organization
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Legal Business Name | METRO DADE HOME HEALTH INC
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 8200 NW 27TH ST SUITE 105
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City | DORAL
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State | FL
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Zip | 33122-1902
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Country | US
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Telephone | 305-482-9950
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Fax | 305-482-9951
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Provider Business Mailing Address
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Address Line | 8200 NW 27TH ST SUITE 105
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City | DORAL
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State | FL
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Zip | 33122-1902
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Country | US
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Telephone | 305-482-9950
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Fax | 305-482-9951
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Authorized Official
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Title or Position | PRESIDENT/CFO
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Name | MR. JUAN A CASTILLO MAYEDO
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Credential | RN
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Telephone | 305-482-9950
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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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