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General NPI Number Information
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NPI Number | 1780232777
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Entity Type | Organization
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Legal Business Name | OPTIMAL HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 09/03/2019
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 3370 NE 190TH ST APT 2512
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City | AVENTURA
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State | FL
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Zip | 33180-2463
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Country | US
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Telephone | 646-670-8327
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Fax |
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Provider Business Mailing Address
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Address Line | 3370 NE 190TH ST APT 2512
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City | AVENTURA
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State | FL
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Zip | 33180-2463
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Country | US
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Telephone | 646-670-8327
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NOAM HAZAN
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Credential | DPT
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Telephone | 646-670-8327
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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 |
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License Number State |
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