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General NPI Number Information
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NPI Number | 1265159636
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Entity Type | Organization
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Legal Business Name | OPTIMUM SOLUTION HOME HEALTH LLC
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Dates
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Enumeration Date | 10/25/2022
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Last Update Date | 03/12/2024
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Provider Practice Location Address
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Address Line | 10570 S US HIGHWAY 1 STE 300
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-5606
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Country | US
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Telephone | 772-877-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 10570 S US HIGHWAY 1 STE 300
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34952-5606
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Country | US
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Telephone | 772-212-1183
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Fax | 772-212-1283
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Authorized Official
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Title or Position | DIRECTOR
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Name | YVENA VIXAMAR
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Credential | RN
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Telephone | 772-212-1183
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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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