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General NPI Number Information
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NPI Number | 1154109197
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Entity Type | Organization
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Legal Business Name | AMARA HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 09/20/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 526 24TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-4818
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Country | US
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Telephone | 915-258-5106
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Fax |
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Provider Business Mailing Address
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Address Line | 15751 N WIND CIR
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City | SUNRISE
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State | FL
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Zip | 33326-2116
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Country | US
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Telephone | 915-258-5106
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ABRAHAM THOMAS NELLY
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Credential | CEO
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Telephone | 915-258-5106
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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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