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General NPI Number Information
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NPI Number | 1679062079
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Entity Type | Organization
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Legal Business Name | MOREJON HOME SERVICES INC
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 05/02/2018
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Provider Practice Location Address
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Address Line | 10090 NW 80 CT APT 1405
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City | HIALEAH
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State | FL
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Zip | 33016-2241
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Country | US
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Telephone | 786-853-3059
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Fax |
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Provider Business Mailing Address
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Address Line | 10090 NW 80 CT APT 1405
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City | HIALEAH
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State | FL
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Zip | 33016-2241
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Country | US
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Telephone | 786-853-3059
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ONASSI VALDES
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Credential | ARNP
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Telephone | 786-853-3059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9247537
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License Number State | FL
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