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General NPI Number Information
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NPI Number | 1467601039
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Entity Type | Organization
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Legal Business Name | MECAS PROFESSIONAL SERVICES, INC
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Dates
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Enumeration Date | 09/18/2008
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Last Update Date | 09/18/2008
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Provider Practice Location Address
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Address Line | 4155 SW 130TH AVE SUITE110
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City | MIAMI
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State | FL
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Zip | 33175-3414
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Country | US
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Telephone | 305-229-9941
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Fax | 305-226-2821
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Provider Business Mailing Address
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Address Line | 4155 SW 130TH AVE SUITE110
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City | MIAMI
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State | FL
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Zip | 33175-3414
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Country | US
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Telephone | 305-229-9941
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Fax | 305-226-2821
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSANA CASTANON
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Credential | C.E.O.
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Telephone | 305-229-9941
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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 | FL
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