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General NPI Number Information
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NPI Number | 1346917762
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Entity Type | Organization
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Legal Business Name | HOME HEALTHCARE OF FORT LAUDERDALE LLC
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 1 OAKWOOD BLVD STE 212
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City | HOLLYWOOD
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State | FL
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Zip | 33020-1954
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Country | US
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Telephone | 754-202-4333
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Fax | 754-202-4334
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Provider Business Mailing Address
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Address Line | 488 NE 18TH ST UNIT 4911
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City | MIAMI
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State | FL
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Zip | 33132-1339
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LUIS SALMUN
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Credential | MD
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Telephone | 954-300-2238
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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 |
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