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General NPI Number Information
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NPI Number | 1194861690
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Entity Type | Organization
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Legal Business Name | GIFTED HEALTH GROUP, INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 111 NW 183RD ST STE 110A
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4520
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Country | US
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Telephone | 305-405-6553
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Fax | 305-405-6283
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Provider Business Mailing Address
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Address Line | 111 NW 183RD ST STE 110A
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4520
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Country | US
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Telephone | 305-405-6553
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Fax | 305-405-6283
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Authorized Official
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Title or Position | ADMINISTRATOR OWNER
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Name | MRS. MARIE J JEAN BAPTISTE
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Credential |
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Telephone | 786-201-1951
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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 | 299991488
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License Number State | FL
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