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General NPI Number Information
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NPI Number | 1740960269
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Entity Type | Organization
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Legal Business Name | BRAVO HOME CARE SERVICES
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Dates
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Enumeration Date | 07/19/2023
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Last Update Date | 07/19/2023
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Provider Practice Location Address
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Address Line | 5452 YOUNGRIDGE DR APT 7
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City | PITTSBURGH
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State | PA
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Zip | 15236-3149
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Country | US
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Telephone | 412-583-4318
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Fax |
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Provider Business Mailing Address
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Address Line | 200 PROSPERITY DR STE 208
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City | KNOXVILLE
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State | TN
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Zip | 37923-4718
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. NIYOYANKUNZE NOEL
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Credential |
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Telephone | 412-583-4318
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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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