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General NPI Number Information
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NPI Number | 1649662677
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE HOME CARE
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 9766 SW 24TH ST STE 20
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City | MIAMI
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State | FL
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Zip | 33165-7567
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Country | US
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Telephone | 305-225-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 9766 SW 24TH ST STE 20
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City | MIAMI
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State | FL
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Zip | 33165-7567
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Country | US
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Telephone | 305-225-1900
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PEDRO GONZALEZ
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Credential |
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Telephone | 305-225-1900
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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 | 20335095
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License Number State | FL
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