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General NPI Number Information
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NPI Number | 1396017810
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Entity Type | Organization
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Legal Business Name | MERCY HOMECARE/COMPANION SERVICES
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Dates
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Enumeration Date | 01/30/2012
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Last Update Date | 01/30/2012
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Provider Practice Location Address
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Address Line | 9024 SW 214TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33189-3783
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Country | US
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Telephone | 305-608-7350
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Fax | 305-608-7350
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Provider Business Mailing Address
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Address Line | 9024 SW 214TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33189-3783
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Country | US
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Telephone | 305-608-7350
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Fax | 305-608-7350
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. JOAN COMERIE
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Credential |
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Telephone | 786-309-7451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 232482
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License Number State | FL
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