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General NPI Number Information
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NPI Number | 1689004210
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Entity Type | Organization
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Legal Business Name | QUALITY LIFE HOME CARE, CORP
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Dates
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Enumeration Date | 11/18/2013
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Last Update Date | 07/17/2015
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Provider Practice Location Address
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Address Line | 3600 S STATE ROAD 7 SUITE 241
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City | MIRAMAR
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State | FL
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Zip | 33023-5200
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Country | US
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Telephone | 954-239-8295
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Fax | 954-404-7509
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Provider Business Mailing Address
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Address Line | 3600 S. STATE RD 7 SUITE 241
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City | MIRAMAR
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State | FL
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Zip | 33023
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Country | US
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Telephone | 954-239-8295
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Fax | 954-404-7509
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR
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Name | MISS OTANY BARA
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Credential |
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Telephone | 786-280-2994
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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 |
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