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General NPI Number Information
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NPI Number | 1578610978
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Entity Type | Organization
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Legal Business Name | LOS JAZMINES HOME CARE CORP
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 04/30/2010
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Provider Practice Location Address
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Address Line | 12001 SW 128 CT SUITE 101
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City | MIAMI
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State | FL
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Zip | 33186-4664
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Country | US
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Telephone | 305-251-5013
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Fax | 305-251-5027
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Provider Business Mailing Address
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Address Line | 12001 SW 128 CT SUITE 101
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City | MIAMI
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State | FL
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Zip | 33186-4664
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Country | US
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Telephone | 305-551-1072
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Fax | 305-551-1073
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. SARIBEL DE TRINCHERIA
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Credential |
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Telephone | 305-551-1072
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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 | HHA2999991970
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License Number State | FL
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