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General NPI Number Information
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NPI Number | 1518793629
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Entity Type | Organization
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Legal Business Name | ALPHA CARE AT HOME CORP
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 2680 SW 137TH AVE STE A
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City | MIAMI
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State | FL
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Zip | 33175-6636
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Country | US
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Telephone | 305-223-7543
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Fax | 786-410-3401
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Provider Business Mailing Address
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Address Line | 2680 SW 137TH AVE STE A
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City | MIAMI
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State | FL
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Zip | 33175-6636
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Country | US
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Telephone | 305-223-7543
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Fax | 786-410-3401
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. LISSET SANCHEZ
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Credential |
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Telephone | 305-223-7543
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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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