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General NPI Number Information
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NPI Number | 1538676796
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Entity Type | Organization
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Legal Business Name | VINTEX QUALITY CARE, INC.
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 7951 RIVIERA BLVD STE 312
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City | MIRAMAR
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State | FL
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Zip | 33023-6438
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Country | US
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Telephone | 954-505-7984
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Fax | 305-666-8462
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Provider Business Mailing Address
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Address Line | 7400 SW 50TH TER STE 200
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City | MIAMI
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State | FL
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Zip | 33155-4486
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Country | US
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Telephone | 305-666-8331
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABO OMACHONU
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Credential | RN
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Telephone | 305-666-8331
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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 | 299994451
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License Number State | FL
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