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General NPI Number Information
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NPI Number | 1457143760
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Entity Type | Organization
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Legal Business Name | EVOLUTION HOME HEALTH SERVICES CORP
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 2100 W 76TH ST STE 401
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City | HIALEAH
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State | FL
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Zip | 33016-5504
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Country | US
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Telephone | 786-547-0542
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Fax | 305-489-5961
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Provider Business Mailing Address
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Address Line | 2100 W 76TH ST STE 401
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City | HIALEAH
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State | FL
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Zip | 33016-5504
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Country | US
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Telephone | 786-547-0542
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Fax | 305-489-5961
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Authorized Official
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Title or Position | OWNER
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Name | MARIA TERESA ALVAREZ MATEU
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Credential |
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Telephone | 786-547-0542
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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