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General NPI Number Information
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NPI Number | 1831342674
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Entity Type | Organization
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Legal Business Name | GREEN CROSS HOME CARE SERVICES
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Dates
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Enumeration Date | 10/24/2008
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Last Update Date | 02/18/2009
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Provider Practice Location Address
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Address Line | 2431 ALOMA AVE SUITE 125
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City | WINTER PARK
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State | FL
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Zip | 32792-2541
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Country | US
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Telephone | 305-687-7714
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Fax | 305-687-4095
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Provider Business Mailing Address
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Address Line | 15383 NW 7TH AVE
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City | MIAMI
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State | FL
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Zip | 33169-6205
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Country | US
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Telephone | 305-687-7714
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Fax | 305-687-4095
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ALINE LAFORTUNE
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Credential | ARNP 1696722
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Telephone | 305-687-7714
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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 |
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License Number State | FL
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