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General NPI Number Information
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NPI Number | 1477507887
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Entity Type | Organization
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Legal Business Name | CBAH INC
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 03/02/2021
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Provider Practice Location Address
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Address Line | 10001 NW 50TH ST STE 203B
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City | SUNRISE
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State | FL
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Zip | 33351-8061
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Country | US
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Telephone | 954-914-0811
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Fax | 954-374-6989
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Provider Business Mailing Address
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Address Line | 10001 NW 50TH ST STE 203B
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City | SUNRISE
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State | FL
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Zip | 33351-8061
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Country | US
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Telephone | 954-914-0811
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALTHEA ROBINSON
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Credential |
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Telephone | 954-914-0811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 228665
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License Number State | FL
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