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General NPI Number Information
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NPI Number | 1457475477
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE HOUSECALL
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 18110 NE 19TH AVE
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-1606
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Country | US
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Telephone | 305-949-2990
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Fax | 305-949-2980
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Provider Business Mailing Address
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Address Line | 4000 TOWERSIDE TER APT 1207
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2239
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Country | US
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Telephone | 305-891-3449
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Fax | 305-895-1877
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Authorized Official
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Title or Position | REGISTERED AGENT
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Name | CAROL SONTAG
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Credential |
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Telephone | 305-891-3449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | AP845
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License Number State | FL
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