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General NPI Number Information
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NPI Number | 1740821206
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Entity Type | Organization
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Legal Business Name | COVADONGA CARE SERVICES, INC.
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 5901 NW 183RD ST STE 122
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City | HIALEAH
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State | FL
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Zip | 33015-6009
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Country | US
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Telephone | 786-683-1341
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Fax |
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Provider Business Mailing Address
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Address Line | 5901 NW 183RD ST STE 122
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City | HIALEAH
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State | FL
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Zip | 33015-6009
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Country | US
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Telephone | 786-683-1341
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ELISABEHT HIDALGO
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Credential |
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Telephone | 786-683-1341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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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 | 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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