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General NPI Number Information
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NPI Number | 1477793867
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Entity Type | Organization
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Legal Business Name | NOVA HOME CARE AGENCY,INC.
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 10/12/2015
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Provider Practice Location Address
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Address Line | 11820 MIRAMAR PKWY SUITE # 307
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City | MIRAMAR
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State | FL
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Zip | 33025-5814
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Country | US
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Telephone | 954-639-7442
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Fax | 954-639-7498
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Provider Business Mailing Address
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Address Line | 11820 MIRAMAR PARKWAY SUITE 307
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City | MIRAMAR
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State | FL
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Zip | 33024-6455
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Country | US
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Telephone | 954-639-7442
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Fax | 954-639-7498
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Authorized Official
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Title or Position | PRESIDENT
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Name | LESLIE LLUVET
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Credential |
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Telephone | 305-389-4214
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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 |
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