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NPI 1205896255

NPI 1205896255 : PRN NURSINGS SERVICES, INC : CORAL GABLES, FL

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General NPI Number Information
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    NPI Number           |    1205896255
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    Entity Type          |    Organization 
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    Legal Business Name  |    PRN NURSINGS SERVICES, INC 
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Dates
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    Enumeration Date     |    03/24/2006
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    Last Update Date     |    06/01/2011
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Provider Practice Location Address
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    Address Line         |    770 PONCE DE LEON BLVD SUITE# 304
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33134-2065
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    Country              |    US
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    Telephone            |    305-265-4482
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    Fax                  |    305-265-7622
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Provider Business Mailing Address
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    Address Line         |    770 PONCE DE LEON BLVD SUITE# 304
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    City                 |    CORAL GABLES
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    State                |    FL
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    Zip                  |    33134-2065
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    Country              |    US
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    Telephone            |    305-265-4482
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    Fax                  |    305-265-7622
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Authorized Official
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    Title or Position    |    ADMINISTRATOR/CO-OWNER
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    Name                 |    MS. JANET C. LOREDO 
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    Credential           |    
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    Telephone            |    305-265-4482
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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       |    HHA21569096
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    License Number State |    FL
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