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General NPI Number Information
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NPI Number | 1235312646
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Entity Type | Organization
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Legal Business Name | HEAD,HANDS,HEART HEALTHCARE SERVICES
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Dates
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Enumeration Date | 12/07/2007
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Last Update Date | 12/07/2007
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Provider Practice Location Address
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Address Line | 1790 W 49TH ST SUITE #308
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City | HIALEAH
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State | FL
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Zip | 33012-2992
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Country | US
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Telephone | 305-826-9676
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Fax | 305-826-4064
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Provider Business Mailing Address
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Address Line | 1790 W 49TH ST SUITE #308
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City | HIALEAH
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State | FL
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Zip | 33012-2992
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Country | US
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Telephone | 305-826-9676
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Fax | 305-826-4064
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Authorized Official
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Title or Position | R.N./D.O.N./ADMINISTRATOR/C.F.O.
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Name | MICHELLE GONZALEZ-LARREA
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Credential |
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Telephone | 305-826-9676
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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 |
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License Number State | FL
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