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General NPI Number Information
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NPI Number | 1548350689
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Entity Type | Organization
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Legal Business Name | HEBREW HOME SINAI INC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 06/14/2016
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Provider Practice Location Address
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Address Line | 201 NE 112TH ST
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City | MIAMI
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State | FL
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Zip | 33161-7022
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Country | US
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Telephone | 305-899-4700
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Fax | 305-899-4719
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Provider Business Mailing Address
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Address Line | 201 NE 112TH ST
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City | MIAMI
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State | FL
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Zip | 33161-7022
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Country | US
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Telephone | 305-899-4700
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Fax | 305-899-4719
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | HEIDI TUCKER
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Credential | NHA
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Telephone | 305-899-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF15190961
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License Number State | FL
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