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General NPI Number Information
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NPI Number | 1174111660
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Entity Type | Organization
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Legal Business Name | ADVANCED GLOBAL HEALTHCARE, INC
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Dates
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Enumeration Date | 01/09/2021
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Last Update Date | 01/09/2021
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Provider Practice Location Address
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Address Line | 2031 HARRISON ST
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City | HOLLYWOOD
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State | FL
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Zip | 33020
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Country | US
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Telephone | 754-354-0222
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Fax |
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Provider Business Mailing Address
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Address Line | 2031 HARRISON ST
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City | HOLLYWOOD
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State | FL
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Zip | 33020
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Country | US
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Telephone | 754-354-0222
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. VENESSIA M NORVIL
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Credential | NURSE PRACTITIONER
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Telephone | 786-816-5308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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