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General NPI Number Information
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NPI Number | 1215279559
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Entity Type | Organization
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Legal Business Name | YENEICE GROUP HOME AND COMPANION SERVICES
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 7595 SW 152ND AVE APT H105
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City | MIAMI
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State | FL
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Zip | 33193-2371
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Country | US
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Telephone | 786-230-6437
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Fax |
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Provider Business Mailing Address
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Address Line | 7595 SW 152ND AVE APT H105
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City | MIAMI
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State | FL
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Zip | 33193-2371
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Country | US
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Telephone | 786-230-6437
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Fax |
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Authorized Official
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Title or Position | P/T
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Name | MRS. YENEICE CASTRO
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Credential | N/A
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Telephone | 786-230-6437
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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 | 233003
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License Number State | FL
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