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General NPI Number Information
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NPI Number | 1154931533
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Entity Type | Organization
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Legal Business Name | OJIWE GENTLECARE OF S. FL LLC.
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 774 NW 16TH PL
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City | POMPANO BEACH
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State | FL
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Zip | 33060-5168
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Country | US
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Telephone | 786-287-5330
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Fax |
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Provider Business Mailing Address
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Address Line | 774 NW 16TH PL
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City | POMPANO BEACH
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State | FL
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Zip | 33060-5168
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Country | US
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Telephone | 786-287-5330
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS ALONDA CHAMBERS
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Credential |
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Telephone | 786-287-5330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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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Taxonomy #3
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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 #4
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #8
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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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