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General NPI Number Information
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NPI Number | 1336565969
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Entity Type | Organization
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Legal Business Name | BONAVENTURE HEALTH SERVICES INC
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Dates
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Enumeration Date | 03/06/2014
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Last Update Date | 09/02/2023
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Provider Practice Location Address
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Address Line | 1065 NE 125TH ST STE 101
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5831
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Country | US
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Telephone | 305-893-5364
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Fax | 877-669-7651
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Provider Business Mailing Address
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Address Line | 1175 NE 125TH ST STE 302
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5831
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Country | US
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Telephone | 305-893-5364
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Fax | 877-669-7651
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | MS. YVELINE O BELLANDE
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Credential | RN
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Telephone | 305-893-5364
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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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 | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 30211437
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License Number State | FL
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