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General NPI Number Information
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NPI Number | 1588827794
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Entity Type | Organization
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Legal Business Name | DADE FAMILY PROFESSIONAL SERVICES, LLC
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 2711 SW 137TH AVE SUITE # 89
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City | MIAMI
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State | FL
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Zip | 33175-6361
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Country | US
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Telephone | 305-559-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 2711 SW 137TH AVE SUITE #89
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City | MIAMI
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State | FL
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Zip | 33175-6361
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Country | US
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Telephone | 305-555-9636
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Fax | 305-559-6364
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Authorized Official
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Title or Position | OWNER
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Name | TATIANA BORREGO
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Credential |
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Telephone | 305-559-6363
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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 | FL
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