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General NPI Number Information
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NPI Number | 1639765795
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Entity Type | Organization
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Legal Business Name | OLIMPIA HOME HEALTH CARE INC
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Dates
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Enumeration Date | 12/14/2020
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Last Update Date | 05/24/2024
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Provider Practice Location Address
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Address Line | 12337 SW 132ND CT
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City | MIAMI
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State | FL
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Zip | 33186-6452
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Country | US
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Telephone | 786-581-9047
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Fax | 786-429-1477
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Provider Business Mailing Address
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Address Line | 12337 SW 132ND CT
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City | MIAMI
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State | FL
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Zip | 33186-6452
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Country | US
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Telephone | 786-581-9047
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Fax | 786-429-1477
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Authorized Official
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Title or Position | CFO
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Name | VICTOR ERWIN MARTINEZ
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Credential |
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Telephone | 786-581-9047
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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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