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General NPI Number Information
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NPI Number | 1366506255
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Entity Type | Organization
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Legal Business Name | ALL METRO HOME CARE SERVICES OF FLORIDA, INC.
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Dates
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Enumeration Date | 12/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4337 N STATE ROAD 7
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City | LAUDERDALE LAKES
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State | FL
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Zip | 33319-4856
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Country | US
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Telephone | 954-739-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 50 BROADWAY
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City | LYNBROOK
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State | NY
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Zip | 11563-2519
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Country | US
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Telephone | 516-750-8135
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Fax |
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Authorized Official
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Title or Position | CHAIRMAN
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Name | MR. SCOTT REDDING MIXER
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Credential |
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Telephone | 516-750-9103
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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 | 20105096
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License Number State | FL
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