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General NPI Number Information
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NPI Number | 1548430457
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Entity Type | Organization
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Legal Business Name | A PLUS GENTLE CARE
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Dates
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Enumeration Date | 03/06/2008
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 1005 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4460
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Country | US
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Telephone | 305-246-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 1005 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-4460
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Country | US
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Telephone | 305-246-1400
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. SERGE SEJOUR
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Credential | RN
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Telephone | 305-246-1400
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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 | 30211261
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License Number State | FL
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