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General NPI Number Information
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NPI Number | 1639444656
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Entity Type | Organization
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Legal Business Name | HOSANNA HOME CARE SERVICES INC.
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Dates
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Enumeration Date | 03/09/2012
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Last Update Date | 03/09/2012
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Provider Practice Location Address
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Address Line | 28861 SW 160TH PL
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City | HOMESTEAD
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State | FL
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Zip | 33033-1108
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Country | US
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Telephone | 786-663-5118
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Fax | 786-243-0591
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Provider Business Mailing Address
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Address Line | 28861 SW 160TH PL
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City | HOMESTEAD
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State | FL
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Zip | 33033-1108
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Country | US
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Telephone | 786-663-5118
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Fax | 786-243-0591
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Authorized Official
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Title or Position | PRESIDENT/ADMINISTRATOR
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Name | LILLIAN ROSARIO
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Credential |
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Telephone | 786-663-5118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 232585
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License Number State | FL
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