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General NPI Number Information
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NPI Number | 1306283551
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Entity Type | Organization
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Legal Business Name | PALMETTO HOME CARE CORP
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Dates
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Enumeration Date | 05/29/2013
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Last Update Date | 05/29/2013
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Provider Practice Location Address
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Address Line | 2100 W 76TH ST SUITE 316
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City | HIALEAH
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State | FL
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Zip | 33016-5539
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Country | US
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Telephone | 786-376-7051
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Fax | 305-825-4639
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Provider Business Mailing Address
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Address Line | 2100 W 76TH ST SUITE 316
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City | HIALEAH
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State | FL
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Zip | 33016-5539
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Country | US
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Telephone | 786-376-7051
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Fax | 305-825-4639
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Authorized Official
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Title or Position | PRESIDENT
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Name | IDILIDIA PADILLA
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Credential |
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Telephone | 786-376-7051
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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 | TO BE ANNOUNCED
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License Number State | FL
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