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General NPI Number Information
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NPI Number | 1417931080
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Entity Type | Organization
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Legal Business Name | YODALYS HOME HEALTH CORP.
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Dates
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Enumeration Date | 12/06/2005
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 233 W WATERS AVE
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City | TAMPA
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State | FL
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Zip | 33604-2947
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Country | US
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Telephone | 813-886-8985
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Fax | 813-886-8497
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Provider Business Mailing Address
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Address Line | 233 W WATERS AVE
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City | TAMPA
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State | FL
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Zip | 33604-2947
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Country | US
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Telephone | 813-886-8985
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Fax | 813-886-8497
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Authorized Official
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Title or Position | OWNER
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Name | MRS. YODALYS SIERRA-PEREZ
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Credential |
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Telephone | 813-886-8985
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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 | 299993040
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License Number State | FL
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