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General NPI Number Information
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NPI Number | 1538338298
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Entity Type | Organization
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Legal Business Name | EL SHADAI HOME HEALTH CARE INC
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 8304 NW SOUTH RIVER DR
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City | MEDLEY
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State | FL
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Zip | 33166-7422
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Country | US
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Telephone | 305-805-1373
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Fax | 305-805-1375
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Provider Business Mailing Address
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Address Line | 8304 NW SOUTH RIVER DR
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City | MEDLEY
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State | FL
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Zip | 33166-7422
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Country | US
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Telephone | 305-805-1373
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Fax | 305-805-1375
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ALICIA C GARCIA
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Credential |
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Telephone | 305-805-1373
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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 | 299993029
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License Number State | FL
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