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General NPI Number Information
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NPI Number | 1619130226
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Entity Type | Organization
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Legal Business Name | 5 STAR HOME CARE, LLC.
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Dates
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Enumeration Date | 07/03/2008
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Last Update Date | 10/01/2010
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Provider Practice Location Address
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Address Line | 1001 N FEDERAL HWY SUITE 202
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2400
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Country | US
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Telephone | 954-391-7676
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Fax | 954-391-7788
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Provider Business Mailing Address
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Address Line | 1001 N FEDERAL HWY SUITE 202
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2400
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Country | US
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Telephone | 954-391-7676
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Fax | 954-391-7788
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PATRICIA MORCATE
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Credential |
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Telephone | 305-854-1066
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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 | HHA299993186
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License Number State | ZZ
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