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NPI 1578127601

NPI 1578127601 : ALLIANCE HEALTH CARE OF MIAMI BEACH, LLC. : HALLANDALE BEACH, FL

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General NPI Number Information
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    NPI Number           |    1578127601
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALLIANCE HEALTH CARE OF MIAMI BEACH, LLC. 
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Dates
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    Enumeration Date     |    04/24/2019
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    Last Update Date     |    09/11/2024
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Provider Practice Location Address
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    Address Line         |    409 W HALLANDALE BEACH BLVD STE 211 
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    City                 |    HALLANDALE BEACH
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    State                |    FL
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    Zip                  |    33009-5301
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    Country              |    US
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    Telephone            |    954-906-1200
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    Fax                  |    954-906-1214
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Provider Business Mailing Address
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    Address Line         |    21406 W DIXIE HWY 
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    City                 |    MIAMI
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    State                |    FL
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    Zip                  |    33180-1144
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    Country              |    US
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    Telephone            |    305-865-1989
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    Fax                  |    305-868-4298
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     ASHLEY  LOZEV 
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    Credential           |    
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    Telephone            |    305-865-1989
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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       |    
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    License Number State |    
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