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General NPI Number Information
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NPI Number | 1467602094
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Entity Type | Organization
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Legal Business Name | SENSICARE OF SOUTH FLORIDA, 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 | 17027 W DIXIE HWY SUITE 105
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-3734
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Country | US
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Telephone | 305-947-9611
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Fax | 305-947-9644
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Provider Business Mailing Address
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Address Line | 17027 W DIXIE HWY SUITE 105
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-3734
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Country | US
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Telephone | 305-947-9611
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Fax | 305-947-9644
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Authorized Official
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Title or Position | VICE PRESIDENT / ADMINISTRATOR
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Name | MS. KIM SCHILLE
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Credential |
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Telephone | 305-947-9611
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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 | NR30211278
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License Number State | FL
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