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General NPI Number Information
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NPI Number | 1174538565
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Entity Type | Organization
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Legal Business Name | ST JUDE BEST HOME CARE, INC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1055 E 4TH AVE SUITE A
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City | HIALEAH
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State | FL
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Zip | 33010-4103
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Country | US
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Telephone | 305-805-1885
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Fax | 305-805-5578
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Provider Business Mailing Address
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Address Line | 1055 E 4TH AVE SUITE A
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City | HIALEAH
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State | FL
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Zip | 33010-4103
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Country | US
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Telephone | 305-805-1885
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Fax | 305-805-5578
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. MARTHA ACERO
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Credential | R.P.T.
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Telephone | 305-805-1885
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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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