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General NPI Number Information
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NPI Number | 1316906613
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Entity Type | Organization
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Legal Business Name | MASADA HOME CARE, INC
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3950 BISCAYNE BLVD
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City | MIAMI
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State | FL
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Zip | 33137-3721
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Country | US
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Telephone | 305-672-2648
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Fax | 305-672-0133
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Provider Business Mailing Address
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Address Line | 3950 BISCAYNE BLVD
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City | MIAMI
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State | FL
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Zip | 33137-3721
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Country | US
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Telephone | 305-672-2648
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Fax | 305-672-0133
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. TERESA DENISE DUVALL
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Credential |
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Telephone | 305-672-2648
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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 |
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License Number State | FL
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