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General NPI Number Information
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NPI Number | 1235300112
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Entity Type | Organization
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Legal Business Name | JANELS SERVICES INC. D.B.A. JANEL'S NURSES REGISTRY
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 10/13/2017
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Provider Practice Location Address
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Address Line | 860 NW 183RD ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4252
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Country | US
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Telephone | 305-653-0387
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Fax | 305-653-2273
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Provider Business Mailing Address
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Address Line | 860 NW 183RD ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4252
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Country | US
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Telephone | 305-653-0387
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Fax | 305-653-2273
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Authorized Official
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Title or Position | ADMINISTRATOR/V.P.
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Name | MR. ANDRE ANTONIEL GIVANS
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Credential |
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Telephone | 305-653-0387
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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 | 30211001
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License Number State | FL
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