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General NPI Number Information
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NPI Number | 1588973747
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Entity Type | Organization
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Legal Business Name | ELITE CARE AT HOME OF BROWARD, INC.
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Dates
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Enumeration Date | 10/05/2010
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Last Update Date | 10/05/2010
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Provider Practice Location Address
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Address Line | 12505 ORANGE DR SUITE 904
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City | DAVIE
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State | FL
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Zip | 33330-4300
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Country | US
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Telephone | 305-231-0555
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Fax | 305-402-7778
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Provider Business Mailing Address
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Address Line | 12505 ORANGE DR SUITE 904
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City | DAVIE
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State | FL
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Zip | 33330-4300
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Country | US
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Telephone | 305-231-0555
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Fax | 305-402-7778
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. XIOMARA UMANA-ALVAREZ
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Credential |
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Telephone | 305-513-5710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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