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General NPI Number Information
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NPI Number | 1255315230
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Entity Type | Organization
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Legal Business Name | SERVICES & CARE AT HOME INC
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 10250 SW 56 ST SUITE D103
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City | MIAMI
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State | FL
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Zip | 33165-7069
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Country | US
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Telephone | 305-274-1170
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Fax | 305-274-8825
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Provider Business Mailing Address
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Address Line | 10250 SW 56 ST SUITE D103
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City | MIAMI
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State | FL
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Zip | 33165-7069
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Country | US
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Telephone | 305-274-1170
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Fax | 305-274-8825
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NYDIA SAGRE
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Credential | RN
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Telephone | 305-274-1170
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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 | 21049096
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License Number State | FL
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