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General NPI Number Information
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NPI Number | 1356853261
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Entity Type | Organization
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Legal Business Name | MAHALIA H. CARRY, ARNP LLC
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Dates
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Enumeration Date | 11/01/2017
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Last Update Date | 11/01/2017
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Provider Practice Location Address
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Address Line | 10010 NW 131ST ST
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-1658
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Country | US
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Telephone | 305-522-1849
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Fax | 786-352-7009
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Provider Business Mailing Address
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Address Line | 10010 NW 131ST ST
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-1658
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Country | US
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Telephone | 305-522-1849
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Fax | 786-352-7009
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Authorized Official
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Title or Position | OWNER
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Name | MAHALIA HILDA CARRY
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Credential | ARNP
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Telephone | 305-522-1849
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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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