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General NPI Number Information
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NPI Number | 1386830008
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Entity Type | Organization
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Legal Business Name | 360 HOME CARE, INC.
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Dates
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Enumeration Date | 09/16/2007
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Last Update Date | 09/16/2007
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Provider Practice Location Address
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Address Line | 801 MADRID ST SUITE 211
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City | CORAL GABLES
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State | FL
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Zip | 33134-2283
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Country | US
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Telephone | 305-448-3461
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Fax | 305-448-3462
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Provider Business Mailing Address
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Address Line | 801 MADRID ST SUITE 211
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City | CORAL GABLES
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State | FL
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Zip | 33134-2283
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Country | US
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Telephone | 305-448-3461
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Fax | 305-448-3462
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. DAISY MELINU
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Credential |
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Telephone | 786-457-2983
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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 | 299992640
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License Number State | FL
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