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General NPI Number Information
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NPI Number | 1649450644
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Entity Type | Organization
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Legal Business Name | HEALTHMAX HOME CARE SERVICES INC
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 2387 W 68TH ST STE 203
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City | HIALEAH
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State | FL
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Zip | 33016-6890
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Country | US
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Telephone | 305-825-0109
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Fax | 305-825-0205
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Provider Business Mailing Address
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Address Line | 2387 W 68TH ST SUITE 301
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City | HIALEAH
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State | FL
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Zip | 33016-6889
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Country | US
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Telephone | 305-825-0109
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Fax | 305-825-0205
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Authorized Official
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Title or Position | OWNER
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Name | MR. MILTON MORENO SR.
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Credential |
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Telephone | 305-825-0109
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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 | 299992827
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License Number State | FL
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