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General NPI Number Information
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NPI Number | 1851086821
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Entity Type | Organization
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Legal Business Name | SUPERIOR QUALITY HOME CARE LLC
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Dates
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Enumeration Date | 04/06/2023
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 4461 NW 173RD DR
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-3707
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Country | US
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Telephone | 786-704-4839
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Fax |
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Provider Business Mailing Address
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Address Line | 4461 NW 173RD DR
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-3707
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Country | US
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Telephone | 786-704-4839
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHATERIA WOODBURY
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Credential | CNA
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Telephone | 786-704-4839
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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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