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General NPI Number Information
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NPI Number | 1750551990
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Entity Type | Organization
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Legal Business Name | ALPHA AND OMEGA HEALTH CARE, CORP
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Dates
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Enumeration Date | 03/04/2008
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Last Update Date | 06/22/2009
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Provider Practice Location Address
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Address Line | 14850 SW 26TH ST SUITE 112
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City | MIAMI
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State | FL
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Zip | 33185-5927
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Country | US
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Telephone | 305-220-6026
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Fax | 305-220-6052
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Provider Business Mailing Address
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Address Line | 14850 SW 26TH ST SUITE 112
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City | MIAMI
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State | FL
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Zip | 33185-5927
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Country | US
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Telephone | 305-220-6026
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Fax | 305-220-6052
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. AMINTA VALERIA QUINONEZ
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Credential |
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Telephone | 305-220-6026
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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 | 299992959
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License Number State | FL
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