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General NPI Number Information
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NPI Number | 1780622118
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Entity Type | Organization
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Legal Business Name | MVG, INC. DBA ENERY HOME HEALTH CARE, INC.
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 01/05/2010
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Provider Practice Location Address
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Address Line | 7705 NW 29TH ST SUITE 103-A
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City | DORAL
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State | FL
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Zip | 33122-1102
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Country | US
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Telephone | 305-468-9350
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Fax | 305-468-9352
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Provider Business Mailing Address
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Address Line | 6475 SW 34TH ST
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City | MIAMI
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State | FL
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Zip | 33155-3955
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Country | US
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Telephone | 305-662-6413
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. IRENE CRUZ
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Credential |
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Telephone | 305-468-9350
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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 | HHA20327096
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License Number State | FL
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