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General NPI Number Information
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NPI Number | 1730944661
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Entity Type | Organization
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Legal Business Name | AID SUPPORT SERVICES, INC
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 11845 SW 216TH ST
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City | GOULDS
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State | FL
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Zip | 33170-2938
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Country | US
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Telephone | 305-783-9247
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Fax | 786-504-2070
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Provider Business Mailing Address
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Address Line | 11845 SW 216TH ST
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City | GOULDS
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State | FL
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Zip | 33170-2938
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Country | US
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Telephone | 305-783-9247
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Fax | 786-504-2070
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Authorized Official
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Title or Position | OWNER
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Name | SOPHIA MOORE
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Credential | HHA PBT PCT CPHT
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Telephone | 305-783-9247
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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 |
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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 |
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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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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 | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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Taxonomy #5
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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Taxonomy #6
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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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