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General NPI Number Information
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NPI Number | 1679847438
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Entity Type | Organization
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Legal Business Name | W & J HOME HEALTH CARE INC
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Dates
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Enumeration Date | 02/26/2012
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Last Update Date | 02/26/2012
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Provider Practice Location Address
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Address Line | 1146 E MOWRY DR 203
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City | HOMESTEAD
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State | FL
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Zip | 33030-8184
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Country | US
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Telephone | 786-352-6749
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Fax | 786-738-8220
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Provider Business Mailing Address
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Address Line | 1146 E MOWRY DR 203
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City | HOMESTEAD
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State | FL
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Zip | 33030-8184
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Country | US
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Telephone | 786-352-6749
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Fax | 786-738-8220
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIA D RIVERO
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Credential |
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Telephone | 786-352-6749
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | REGISTRATION 232382
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License Number State | FL
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