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General NPI Number Information
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NPI Number | 1336530930
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Entity Type | Organization
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Legal Business Name | JEWISH HOME CARE SERVICES OF MIAMI-DADE, LLC
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Dates
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Enumeration Date | 02/18/2015
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Last Update Date | 02/18/2015
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Provider Practice Location Address
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Address Line | 975 W 41ST ST STE. 308, OFFICE C
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City | MIAMI BEACH
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State | FL
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Zip | 33140-3329
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Country | US
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Telephone | 305-534-5055
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Fax | 561-989-0694
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Provider Business Mailing Address
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Address Line | 4700 NW 2ND AVE 402
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City | BOCA RATON
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State | FL
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Zip | 33431-4154
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Country | US
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Telephone | 561-989-0611
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Fax | 561-989-0694
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Authorized Official
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Title or Position | CEO
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Name | LISA KAUFMAN BENSMIHEN
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Credential |
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Telephone | 561-989-0611
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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 | 30211615
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License Number State | FL
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