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General NPI Number Information
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NPI Number | 1255065611
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Entity Type | Organization
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Legal Business Name | ISAAC COMMUNITY SERVICES CORP
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 18710 SW 107TH AVE UNIT 17A
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City | CUTLER BAY
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State | FL
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Zip | 33157-6774
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Country | US
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Telephone | 786-235-2711
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Fax | 786-235-2658
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Provider Business Mailing Address
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Address Line | 18710 SW 107TH AVE UNIT 17A
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City | CUTLER BAY
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State | FL
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Zip | 33157-6774
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Country | US
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Telephone | 786-235-2711
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Fax | 786-235-2658
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Authorized Official
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Title or Position | PRESIDENT
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Name | PRISCILLA RUIZ
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Credential |
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Telephone | 786-227-2022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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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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