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General NPI Number Information
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NPI Number | 1528160553
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE SERVICES INC
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 08/26/2010
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Provider Practice Location Address
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Address Line | 7181 SW 43RD ST
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City | MIAMI
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State | FL
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Zip | 33155-4607
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Country | US
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Telephone | 305-667-4848
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Fax | 305-667-4847
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Provider Business Mailing Address
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Address Line | 7181 SW 43RD ST
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City | MIAMI
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State | FL
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Zip | 33155-4607
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Country | US
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Telephone | 305-667-4848
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Fax | 305-667-4847
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MRS. PAULA CARRERA
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Credential |
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Telephone | 305-667-4848
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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 | 203340961
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License Number State | FL
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