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General NPI Number Information
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NPI Number | 1760675151
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Entity Type | Organization
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Legal Business Name | WONG HOME HEALTH CARE INC
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Dates
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Enumeration Date | 08/20/2007
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Last Update Date | 03/04/2010
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Provider Practice Location Address
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Address Line | 398 E 33RD ST STE 204
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City | HIALEAH
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State | FL
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Zip | 33013-3225
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Country | US
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Telephone | 786-362-5768
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Fax |
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Provider Business Mailing Address
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Address Line | 398 E 33RD ST STE 204
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City | HIALEAH
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State | FL
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Zip | 33013-3225
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Country | US
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Telephone | 786-362-5768
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JESUS M PEREZ
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Credential |
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Telephone | 786-362-5768
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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 | HHA299992547
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License Number State | FL
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