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General NPI Number Information
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NPI Number | 1356400295
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Entity Type | Organization
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Legal Business Name | ODDI HOME HEALTH CARE INC
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 07/10/2009
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Provider Practice Location Address
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Address Line | 3750 W 16TH AVE SUITE 200
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City | HIALEAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 305-826-4778
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Fax | 305-826-4771
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Provider Business Mailing Address
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Address Line | 3750 W 16TH AVE SUITE 200
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City | HIALEAH
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State | FL
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Zip | 33012
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Country | US
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Telephone | 305-826-4778
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Fax | 305-826-4771
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LISA A REDONDO
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Credential |
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Telephone | 305-826-4778
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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 | 299991918
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License Number State | FL
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