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General NPI Number Information
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NPI Number | 1780833665
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Entity Type | Organization
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Legal Business Name | SABAHO HOME SERVICES INC
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 13780 SW 56TH ST 212
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City | MIAMI
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State | FL
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Zip | 33175-6058
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Country | US
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Telephone | 305-386-2230
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Fax | 305-386-2231
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Provider Business Mailing Address
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Address Line | 1695 NW 9TH AVE 1695 NW 9 TH AVE
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City | MIAMI
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State | FL
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Zip | 33136-1409
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Country | US
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Telephone | 305-386-2230
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Fax | 305-386-2231
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Authorized Official
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Title or Position | DON
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Name | CHARLES SERRANO
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Credential | RN
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Telephone | 305-386-2230
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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 | RN3134502
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License Number State | FL
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