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General NPI Number Information
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NPI Number | 1801506373
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Entity Type | Individual
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Provider Name | TAKIA LERONA HILL
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Gender | Female
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Dates
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Enumeration Date | 11/25/2022
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Last Update Date | 11/25/2022
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Provider Practice Location Address
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Address Line | 21655 SW 104TH CT APT 102
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City | CUTLER BAY
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State | FL
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Zip | 33190-1049
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Country | US
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Telephone | 800-798-8015
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Fax |
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Provider Business Mailing Address
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Address Line | 960 NE 1ST AVE APT 208
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City | HOMESTEAD
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State | FL
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Zip | 33030-4669
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Country | US
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Telephone | 800-798-8015
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | FL
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