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General NPI Number Information
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NPI Number | 1821053240
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Entity Type | Organization
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Legal Business Name | HORIZON EAST HOME CARE INC
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | 9485 SW 72ND ST SUITE A-245
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City | MIAMI
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State | FL
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Zip | 33173-3242
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Country | US
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Telephone | 305-275-7347
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Fax | 305-275-7323
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Provider Business Mailing Address
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Address Line | 9485 SW 72ND ST SUITE A-245
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City | MIAMI
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State | FL
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Zip | 33173-3242
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Country | US
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Telephone | 305-275-7347
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Fax | 305-275-7323
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. RENE F. ROMAN
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Credential |
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Telephone | 305-275-7347
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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 | 299991997
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License Number State | FL
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