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General NPI Number Information
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NPI Number | 1316100449
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Entity Type | Organization
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Legal Business Name | ON CALL HOME HEALTH LLC.
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 07/09/2008
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Provider Practice Location Address
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Address Line | 4805 NW 79TH AVE STE . 12
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City | DORAL
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State | FL
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Zip | 33166-5400
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Country | US
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Telephone | 305-597-2400
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Fax | 305-597-2544
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Provider Business Mailing Address
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Address Line | 4805 NW 79TH AVE STE . 12
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City | DORAL
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State | FL
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Zip | 33166-5400
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Country | US
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Telephone | 305-597-2400
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Fax | 305-597-2544
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Authorized Official
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Title or Position | PRESIDENT
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Name | MISS EDWARD E. BELLO SR.
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Credential | REGISTERED NURSE
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Telephone | 305-597-2400
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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 | APPLYIN FOR
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License Number State |
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