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General NPI Number Information
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NPI Number | 1831733617
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Entity Type | Organization
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Legal Business Name | MYHEALTH CARE LLC
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Dates
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Enumeration Date | 11/04/2019
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Last Update Date | 11/04/2019
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Provider Practice Location Address
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Address Line | 3543 NW 94TH AVE
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City | SUNRISE
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State | FL
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Zip | 33351-6457
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Country | US
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Telephone | 970-660-8068
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 848241
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City | PEMBROKE PINES
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State | FL
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Zip | 33084-0241
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Country | US
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Telephone | 754-204-5141
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | IMEDA WASSAGA
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Credential | LLBPA
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Telephone | 754-204-5141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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