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General NPI Number Information
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NPI Number | 1225149834
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Entity Type | Organization
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Legal Business Name | FLORIDA HOME HEALTH CARE PROVIDERS, INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 08/05/2008
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Provider Practice Location Address
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Address Line | 4150 NW 7TH ST SUITE # 204
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City | MIAMI
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State | FL
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Zip | 33126-5535
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Country | US
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Telephone | 305-649-2112
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Fax | 305-649-2128
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Provider Business Mailing Address
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Address Line | 4150 NW 7TH ST SUITE # 204
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City | MIAMI
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State | FL
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Zip | 33126-5535
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Country | US
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Telephone | 305-649-2112
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Fax | 305-649-2128
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Authorized Official
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Title or Position | PRESIDENT, ALTERNATE ADMINISTRATOR
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Name | MRS. VICENTA S TELLECHEA
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Credential |
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Telephone | 305-649-2112
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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 | 299992127
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License Number State | FL
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