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General NPI Number Information
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NPI Number | 1245074822
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Entity Type | Organization
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Legal Business Name | EPIC HEALTH AID LLC
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Dates
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Enumeration Date | 06/19/2024
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Last Update Date | 06/19/2024
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Provider Practice Location Address
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Address Line | 9010 SW 137TH AVE STE 244
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City | MIAMI
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State | FL
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Zip | 33186-1409
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Country | US
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Telephone | 786-828-7572
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Fax | 786-828-7992
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Provider Business Mailing Address
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Address Line | 9010 SW 137TH AVE STE 244
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City | MIAMI
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State | FL
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Zip | 33186-1409
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Country | US
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Telephone | 786-828-7572
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Fax | 786-828-7992
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Authorized Official
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Title or Position | OWNER
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Name | MARIO LUIS REGUERA
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Credential |
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Telephone | 305-216-6776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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