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General NPI Number Information
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NPI Number | 1689840779
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Entity Type | Organization
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Legal Business Name | FAMILY HOME HEALTH, LLC
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 16300 NE 19 AVE. SUITE 235
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4898
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Country | US
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Telephone | 786-325-6219
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Fax |
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Provider Business Mailing Address
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Address Line | 16300 NE 19 AVE. SUITE 235
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-4898
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Country | US
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Telephone | 786-325-6219
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. IGOR NUNEZ
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Credential |
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Telephone | 786-325-6219
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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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