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General NPI Number Information
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NPI Number | 1295259166
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Entity Type | Organization
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Legal Business Name | FAMILY TENDER CARE SERVICES INC
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 9360 FONTAINEBLEAU BLVD UNIT 514
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City | MIAMI
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State | FL
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Zip | 33172
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Country | US
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Telephone | 786-786-3568
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Fax |
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Provider Business Mailing Address
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Address Line | 9360 FONTAINEBLEAU BLVD APT 514
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City | MIAMI
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State | FL
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Zip | 33172-5617
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Country | US
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Telephone | 786-786-3568
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ROBERTO G FERNANDEZ AGUILERA
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Credential |
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Telephone | 786-356-8413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 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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