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General NPI Number Information
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NPI Number | 1740572510
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Entity Type | Organization
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Legal Business Name | MELL'S HOME HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 1440 J F KENNEDY CSWY SUITE 421
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141-4188
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Country | US
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Telephone | 305-868-3224
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Fax | 305-574-2884
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Provider Business Mailing Address
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Address Line | 1440 J.F. KENNEDY CAUSEWAY SUITE 421
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City | NORTH BAY VILLAGE
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State | FL
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Zip | 33141
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Country | US
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Telephone | 305-868-3224
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Fax | 305-574-2884
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. NIVALDO SORIA
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Credential |
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Telephone | 305-868-3224
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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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