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General NPI Number Information
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NPI Number | 1780008011
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Entity Type | Organization
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Legal Business Name | NICHOLS FALCO LLC DBA HOME HELPERS 58744
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Dates
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Enumeration Date | 02/06/2014
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Last Update Date | 02/06/2014
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Provider Practice Location Address
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Address Line | 5115 S.W. 128 AVE TERRY M NICHOLS
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 786-763-1958
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Fax |
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Provider Business Mailing Address
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Address Line | 5115 S.W. 128 AVE TERRY M NICHOLS
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City | MIAMI
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State | FL
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Zip | 33175
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Country | US
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Telephone | 786-763-1958
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MR. TERRY M NICHOLS
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Credential |
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Telephone | 786-763-1958
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 233376
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License Number State | FL
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