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General NPI Number Information
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NPI Number | 1720794209
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Entity Type | Organization
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Legal Business Name | INTEGRATED HOME CARE SERVICES, INC.
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Dates
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Enumeration Date | 01/27/2023
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Last Update Date | 01/27/2023
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Provider Practice Location Address
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Address Line | 3700 COMMERCE PARKWAY SOUTH CAROLINA TPA DIVISION
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City | MIRAMAR
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State | FL
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Zip | 33025-3912
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Country | US
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Telephone | 844-215-4264
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Fax | 844-215-4265
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Provider Business Mailing Address
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Address Line | 3700 COMMERCE PARKWAY SOUTH CAROLINA TPA DIVISION
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City | MIRAMAR
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State | FL
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Zip | 33025-3912
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Country | US
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Telephone | 844-215-4264
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Fax | 844-215-4265
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Authorized Official
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Title or Position | COO
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Name | LINDA JOY MENDEZ
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Credential |
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Telephone | 844-215-4264
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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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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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