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General NPI Number Information
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NPI Number | 1619474889
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Entity Type | Organization
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Legal Business Name | FILIPINO AMERICAN HOME HEALTH AGANCY INC
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 659 NE 125TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5503
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Country | US
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Telephone | 305-974-7591
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Fax |
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Provider Business Mailing Address
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Address Line | 1938 NW 74TH AVE
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-1055
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Country | US
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Telephone | 954-600-6127
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, ADMINISTRATOR
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Name | MR. RAYMUNDO SIBUCAO JR.
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Credential | RN
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Telephone | 954-600-6127
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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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