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General NPI Number Information
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NPI Number | 1407805294
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Entity Type | Organization
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Legal Business Name | CARE RESPONSE HOME HEALTH AGENCY CORP.
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Dates
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Enumeration Date | 05/09/2006
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Last Update Date | 08/06/2008
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Provider Practice Location Address
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Address Line | 10021 PINES BLVD SUITE #201
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6191
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Country | US
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Telephone | 954-435-4672
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Fax | 954-435-4673
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Provider Business Mailing Address
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Address Line | 10021 PINES BLVD. SUITE #201
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City | PEMBROKE PINES
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State | FL
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Zip | 33024
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Country | US
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Telephone | 954-435-4672
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Fax | 954-435-4673
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Authorized Official
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Title or Position | DIRECTOR OF NURSING SERVICES/PRES
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Name | SANDRA GOTAY
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Credential |
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Telephone | 305-644-4560
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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 |
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License Number State |
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