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General NPI Number Information
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NPI Number | 1346445285
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Entity Type | Organization
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Legal Business Name | AMERICAN HEALTH CARE AGENCY INC
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Dates
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Enumeration Date | 06/20/2007
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 9600 NW 38TH ST STE 203
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City | DORAL
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State | FL
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Zip | 33178-2374
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Country | US
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Telephone | 305-406-3001
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Fax | 305-406-3005
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Provider Business Mailing Address
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Address Line | 9600 NW 38TH ST STE 203
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City | DORAL
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State | FL
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Zip | 33178-2374
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Country | US
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Telephone | 305-406-3001
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Fax | 305-406-3005
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JOSE E GRUEIRO
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Credential |
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Telephone | 305-406-3001
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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 | 299992708
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License Number State | FL
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