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General NPI Number Information
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NPI Number | 1376970947
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Entity Type | Organization
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Legal Business Name | GENESIS SERVICES OF MIAMI INC
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Dates
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Enumeration Date | 09/27/2013
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Last Update Date | 09/27/2013
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Provider Practice Location Address
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Address Line | 7945 SW 72 ND STREET SUITE 107
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-275-0951
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Fax | 305-275-0953
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Provider Business Mailing Address
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Address Line | 7945 SW 72 ND STREET SUITE 107
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-275-0951
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Fax | 305-275-0953
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Authorized Official
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Title or Position | CEO
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Name | MR. JORGE M RUIZ
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Credential |
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Telephone | 305-275-0951
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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 | 299994182
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License Number State | FL
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