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General NPI Number Information
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NPI Number | 1639816291
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Entity Type | Organization
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Legal Business Name | M&M HEALTH HOLDINGS
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Dates
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Enumeration Date | 05/16/2022
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 1200 S PINELLAS AVE STE 10
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City | TARPON SPRINGS
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State | FL
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Zip | 34689-3716
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Country | US
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Telephone | 862-686-2088
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Fax |
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Provider Business Mailing Address
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Address Line | 2655 E OAKLAND PARK BLVD STE 5
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1608
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Country | US
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Telephone | 862-686-2088
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Fax |
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Authorized Official
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Title or Position | VP OF OPERATIONS
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Name | DR. GREG CHOMKO
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Credential | DPT
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Telephone | 862-686-2088
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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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