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General NPI Number Information
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NPI Number | 1467829465
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Entity Type | Organization
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Legal Business Name | MIRAMAR HOME CARE LLC
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Dates
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Enumeration Date | 08/25/2015
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Last Update Date | 08/25/2015
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Provider Practice Location Address
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Address Line | 1870 FOREST HILL BLVD STE 210
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6061
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Country | US
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Telephone | 561-829-3080
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Fax | 561-829-3233
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Provider Business Mailing Address
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Address Line | 1870 FOREST HILL BLVD STE 210
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6061
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Country | US
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Telephone | 561-829-3080
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Fax | 561-829-3233
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MRS. MARINA ISABEL RAMIREZ
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Credential | MBA
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Telephone | 561-829-3080
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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 | 299994061
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License Number State | FL
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