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General NPI Number Information
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NPI Number | 1396649471
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Entity Type | Organization
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Legal Business Name | REALIGN HOME CARE LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 6245 MIRAMAR PKWY STE 103
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City | MIRAMAR
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State | FL
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Zip | 33023-3964
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Country | US
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Telephone | 786-708-1017
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Fax |
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Provider Business Mailing Address
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Address Line | 6245 MIRAMAR PKWY STE 103
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City | MIRAMAR
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State | FL
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Zip | 33023-3964
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Country | US
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Telephone | 786-708-1017
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DERRICK JEAN
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Credential | DC
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Telephone | 786-708-1017
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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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 | NULL
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | NULL
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