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General NPI Number Information
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NPI Number | 1518483908
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Entity Type | Organization
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Legal Business Name | B&G HOME SERVICES LLC
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Dates
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Enumeration Date | 08/17/2017
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 12159A SW 132ND CT STE 202
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City | MIAMI
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State | FL
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Zip | 33186-6410
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Country | US
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Telephone | 305-506-2146
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Fax |
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Provider Business Mailing Address
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Address Line | 12159A SW 132ND CT STE 202
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City | MIAMI
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State | FL
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Zip | 33186-6410
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Country | US
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Telephone | 305-506-2146
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MS. BABY-LOVE ELOISSAINT
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Credential |
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Telephone | 786-725-9290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 234828
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License Number State | FL
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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 | 234828
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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