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General NPI Number Information
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NPI Number | 1518990217
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Entity Type | Organization
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Legal Business Name | NEW LIFE HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 01/15/2010
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Provider Practice Location Address
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Address Line | 7490 SW 23RD ST SUITE 201
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City | MIAMI
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State | FL
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Zip | 33155-1417
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Country | US
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Telephone | 305-266-6060
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Fax | 305-266-6080
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Provider Business Mailing Address
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Address Line | 7490 SW 23RD ST SUITE 201
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City | MIAMI
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State | FL
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Zip | 33155-1417
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Country | US
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Telephone | 305-266-6060
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Fax | 305-266-6080
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Authorized Official
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Title or Position | CFO OWNER
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Name | MS. VIOLETA CRISTINA FERNANDEZ
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Credential |
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Telephone | 305-266-6060
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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 | 299992408
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License Number State | FL
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