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General NPI Number Information
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NPI Number | 1659397255
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Entity Type | Organization
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Legal Business Name | AV HOME HEALTH CARE INC
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Dates
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Enumeration Date | 07/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7350 NW 7TH ST SUITE:114
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City | MIAMI
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State | FL
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Zip | 33126-2932
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Country | US
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Telephone | 305-265-9335
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Fax | 305-265-9388
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Provider Business Mailing Address
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Address Line | 115 SW 57TH CT
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City | MIAMI
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State | FL
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Zip | 33144-3421
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Country | US
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Telephone | 786-287-2057
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Fax | 305-265-9388
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Authorized Official
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Title or Position | VICE-PRESIDENT
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Name | MRS. AIDILEYDI RODRIGUEZ
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Credential |
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Telephone | 786-287-2057
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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 | 581718-5
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License Number State | FL
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