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General NPI Number Information
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NPI Number | 1710352976
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Entity Type | Organization
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Legal Business Name | HOMELAND HEALTH SOLUTIONS, INC
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 477 NORTH KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030
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Country | US
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Telephone | 786-272-2377
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Fax | 786-272-0451
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Provider Business Mailing Address
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Address Line | 477 NORTH KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030
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Country | US
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Telephone | 786-272-2377
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Fax |
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Authorized Official
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Title or Position | MD
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Name | DR. MARIA CUBILLA
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Credential | MD
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Telephone | 786-272-2377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | ME 55442
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License Number State | FL
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