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General NPI Number Information
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NPI Number | 1699088351
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Entity Type | Organization
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Legal Business Name | GAT HOME SUPPORT
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 11737 SW 93RD TER
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City | MIAMI
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State | FL
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Zip | 33186-2168
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Country | US
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Telephone | 305-778-3283
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Fax | 305-270-9004
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Provider Business Mailing Address
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Address Line | 11737 SW 93RD TER
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City | MIAMI
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State | FL
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Zip | 33186-2168
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Country | US
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Telephone | 305-778-3283
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Fax | 305-270-9004
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. ANA ESPINAR
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Credential | M.S.
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Telephone | 305-778-3283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 231227
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License Number State | FL
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