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General NPI Number Information
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NPI Number | 1477568228
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Entity Type | Organization
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Legal Business Name | COMPLETE HEALTH NETWORK INC.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 12905 SW 42 STREET SUITE 222
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 305-805-7963
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Fax | 305-805-7964
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Provider Business Mailing Address
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Address Line | 12905 SW 42 STREET SUITE 222
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 305-805-7963
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Fax | 305-805-7964
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Authorized Official
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Title or Position | ADMINISTRATOR, OWNER
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Name | MS. LILIANA BUSUTIL
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Credential |
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Telephone | 305-805-7963
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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 | 299991637
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License Number State | FL
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