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NPI 1326646530

NPI 1326646530 : D&D QUALITY CARE SERVICES,LLC : PEMBROKE PINES, FL

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General NPI Number Information
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    NPI Number           |    1326646530
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    Entity Type          |    Organization 
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    Legal Business Name  |    D&D QUALITY CARE SERVICES,LLC 
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Dates
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    Enumeration Date     |    10/12/2020
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    Last Update Date     |    10/12/2020
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Provider Practice Location Address
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    Address Line         |    12446 NW 17TH CT 
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33028-1893
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    Country              |    US
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    Telephone            |    954-608-0560
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    12446 NW 17TH CT 
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    City                 |    PEMBROKE PINES
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    State                |    FL
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    Zip                  |    33028-1893
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    Country              |    US
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    Telephone            |    954-608-0560
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     OLAYEMI  OSAIGBOVO 
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    Credential           |    
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    Telephone            |    954-608-0560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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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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