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General NPI Number Information
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NPI Number | 1275952251
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Entity Type | Organization
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Legal Business Name | AGBI HEALTHCARE, INC
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 2542 COOPER WAY
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City | WELLINGTON
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State | FL
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Zip | 33414-3412
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Country | US
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Telephone | 718-541-9611
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Fax |
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Provider Business Mailing Address
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Address Line | 2542 COOPER WAY
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City | WELLINGTON
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State | FL
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Zip | 33414-3412
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Country | US
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Telephone | 718-541-9611
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW O AGBI
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Credential | DO
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Telephone | 718-541-9611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | OS10970
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | OS10970
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License Number State | FL
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