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General NPI Number Information
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NPI Number | 1245465327
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Entity Type | Organization
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Legal Business Name | SOUTH FLORIDA HOME HEALTH CARE AGENCY
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Dates
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Enumeration Date | 05/19/2009
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Last Update Date | 05/22/2009
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Provider Practice Location Address
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Address Line | 99 NW 183RD ST SUITE 239-F
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33169-4502
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Country | US
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Telephone | 954-458-4760
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Fax |
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Provider Business Mailing Address
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Address Line | 1250 E HALLANDALE BEACH BLVD SUITE 602-E
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-4634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | BENJAMIN GRINBERG
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Credential |
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Telephone | 954-458-4760
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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 |
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