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General NPI Number Information
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NPI Number | 1861314791
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Entity Type | Organization
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Legal Business Name | CHANGE GAIN ACHIEVE LLC
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Dates
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Enumeration Date | 07/30/2026
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 67 NW 183RD ST
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City | MIAMI
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State | FL
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Zip | 33169-4516
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Country | US
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Telephone | 786-859-5035
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 612816
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City | MIAMI
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State | FL
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Zip | 33261-2816
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Country | US
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Telephone | 786-859-5035
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHENEKA ALEXANDER
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Credential |
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Telephone | 786-859-5035
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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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