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General NPI Number Information
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NPI Number | 1356371017
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Entity Type | Organization
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Legal Business Name | MEDEX HOME CARE INC.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 10/07/2008
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Provider Practice Location Address
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Address Line | 8250 NW 27TH ST 309
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City | DORAL
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State | FL
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Zip | 33122-1904
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Country | US
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Telephone | 305-463-9490
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Fax | 305-463-7576
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Provider Business Mailing Address
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Address Line | 8250 NW 27TH ST 309
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City | DORAL
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State | FL
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Zip | 33122-1904
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Country | US
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Telephone | 305-463-9490
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Fax | 305-463-7576
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LEX LLANES
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Credential |
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Telephone | 305-463-9490
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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 | 20697096
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License Number State | FL
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