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NPI 1649377995

NPI 1649377995 : HEALTH SERVICES OF DADE, INC. : DORAL, FL

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General NPI Number Information
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    NPI Number           |    1649377995
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEALTH SERVICES OF DADE, INC. 
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Dates
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    Enumeration Date     |    09/20/2006
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    Last Update Date     |    10/10/2012
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Provider Practice Location Address
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    Address Line         |    1414 NW 107TH AVE SUITE105
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    City                 |    DORAL
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    State                |    FL
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    Zip                  |    33172-2732
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    Country              |    US
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    Telephone            |    305-436-1449
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    Fax                  |    305-436-1450
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Provider Business Mailing Address
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    Address Line         |    1414 NW 107TH AVE SUITE105
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    City                 |    DORAL
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    State                |    FL
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    Zip                  |    33172-2732
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    Country              |    US
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    Telephone            |    305-436-1449
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    Fax                  |    305-436-1450
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Authorized Official
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    Title or Position    |    PRESIDENT/OWNER/ADMINISTRATOR
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    Name                 |    MS. ANA  LINARES 
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    Credential           |    
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    Telephone            |    305-436-1449
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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       |    299992212
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    License Number State |    FL
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