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General NPI Number Information
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NPI Number | 1710294038
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Entity Type | Organization
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Legal Business Name | MEGA MANAGEMENT INTERNATIONAL
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Dates
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Enumeration Date | 09/08/2010
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Last Update Date | 09/08/2010
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Provider Practice Location Address
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Address Line | 4851 NW 103 AVE SUITE 41
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City | SUNRISE
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State | FL
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Zip | 33351
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Country | US
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Telephone | 502-773-0606
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 542766
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City | GREENACRES
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State | FL
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Zip | 33454-2766
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | GREG GORMAN
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Credential |
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Telephone | 502-773-0606
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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 | NR30211028
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License Number State | FL
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