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General NPI Number Information
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NPI Number | 1790700409
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Entity Type | Organization
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Legal Business Name | MAM HEALTH ENTERPRISES INC.
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 04/16/2012
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Provider Practice Location Address
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Address Line | 1350 SW 57TH AVE 315
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City | WEST MIAMI
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State | FL
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Zip | 33144-5775
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Country | US
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Telephone | 305-267-7895
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Fax | 305-267-7896
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Provider Business Mailing Address
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Address Line | 1350 SW 57TH AVE 315
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City | WEST MIAMI
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State | FL
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Zip | 33144-5775
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Country | US
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Telephone | 305-267-7895
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Fax | 305-267-7896
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Authorized Official
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Title or Position | DON
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Name | MS. MARIA ANTONIA MONZON
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Credential |
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Telephone | 305-267-7895
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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 | 2999942436
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License Number State | FL
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