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General NPI Number Information
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NPI Number | 1649465899
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Entity Type | Organization
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Legal Business Name | VIBRANT INC
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 610 NW 183RD ST #205
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4472
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Country | US
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Telephone | 305-651-4222
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Fax | 305-651-4008
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Provider Business Mailing Address
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Address Line | 610 NW 183RD ST #205
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-4472
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Country | US
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Telephone | 305-651-4222
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Fax | 305-651-4008
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DIAHANN DENISE HARRIS
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Credential |
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Telephone | 305-651-4222
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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 | FL
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