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General NPI Number Information
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NPI Number | 1427952647
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Entity Type | Organization
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Legal Business Name | LEGACY ONE HOME HEALTH LLC
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Dates
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Enumeration Date | 10/03/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 8249 NW 36TH ST STE 111
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City | DORAL
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State | FL
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Zip | 33166-6673
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Country | US
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Telephone | 305-300-7884
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Fax |
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Provider Business Mailing Address
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Address Line | 8249 NW 36TH ST STE 111
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City | DORAL
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State | FL
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Zip | 33166-6673
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Country | US
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Telephone | 305-300-7884
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PEDRO RENE RAMOS SANTOS
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Credential |
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Telephone | 305-300-7884
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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 | NULL
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State | NULL
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