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General NPI Number Information
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NPI Number | 1265603070
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Entity Type | Organization
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Legal Business Name | PRINCESS HOME SERVICES INC
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 13605 SW 149TH AVE UNIT 8 13605 SW 149TH AVE UNIT 8
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City | MIAMI
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State | FL
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Zip | 33196-5057
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Country | US
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Telephone | 305-244-9855
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Fax | 305-553-7544
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Provider Business Mailing Address
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Address Line | 13605 SW 149TH AVE UNIT 8
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City | MIAMI
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State | FL
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Zip | 33196-5057
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Country | US
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Telephone | 305-244-9855
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Fax | 305-553-7544
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Authorized Official
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Title or Position | PRESIDENT
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Name | BARBARA HERNANDEZ
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Credential | 01-25-65
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Telephone | 305-244-9855
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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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