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General NPI Number Information
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NPI Number | 1245573773
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Entity Type | Organization
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Legal Business Name | THE WAKI AND SOL OF MIAMI CORP
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 1031 IVES DAIRY RD STE 228
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City | MIAMI
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State | FL
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Zip | 33179-2538
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Country | US
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Telephone | 786-420-5002
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 IVES DAIRY RD STE 228
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City | MIAMI
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State | FL
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Zip | 33179-2538
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Country | US
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Telephone | 786-712-4589
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | TONY OUSTABASSIDIS
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Credential |
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Telephone | 954-864-3996
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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 | 227342
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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