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General NPI Number Information
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NPI Number | 1265957302
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Entity Type | Organization
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Legal Business Name | HOMEMAKER COMNPANION SERVICES OF SOUTH FLORIDA LLC
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Dates
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Enumeration Date | 08/10/2017
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Last Update Date | 09/22/2019
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Provider Practice Location Address
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Address Line | 8900 SW 117TH AVE STE B201
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City | MIAMI
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State | FL
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Zip | 33186-2184
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Country | US
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Telephone | 305-239-9786
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Fax |
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Provider Business Mailing Address
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Address Line | 8900 SW 117TH AVE STE B201
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City | MIAMI
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State | FL
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Zip | 33186-2184
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Country | US
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Telephone | 305-239-9786
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | STEVENSON BENOIT
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Credential |
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Telephone | 305-239-9786
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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