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General NPI Number Information
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NPI Number | 1265149157
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Entity Type | Organization
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Legal Business Name | BELAC HEATH LLC DBA PROJECT MOSHEH
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Dates
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Enumeration Date | 11/01/2022
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 990 QUAYE LAKE CIR APT 103
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City | WELLINGTON
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State | FL
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Zip | 33411-5072
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Country | US
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Telephone | 773-364-0750
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Fax |
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Provider Business Mailing Address
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Address Line | 13182 LA MIRADA CIR
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City | WELLINGTON
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State | FL
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Zip | 33414-3997
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Country | US
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Telephone | 773-364-0750
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Fax |
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Authorized Official
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Title or Position | MANAGER/ OWNER
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Name | CLAUDIA ESCRIBA
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Credential |
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Telephone | 773-364-0750
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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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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health 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 | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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