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General NPI Number Information
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NPI Number | 1861813339
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Entity Type | Organization
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Legal Business Name | MILDRED & MARCE HOME HEALTH CARE
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Dates
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Enumeration Date | 12/30/2013
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Last Update Date | 12/30/2013
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Provider Practice Location Address
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Address Line | 11180 W FLAGLER ST SUITE 13
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City | MIAMI
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State | FL
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Zip | 33174-1216
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Country | US
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Telephone | 305-548-4636
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Fax |
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Provider Business Mailing Address
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Address Line | 11180 W FLAGLER ST SUITE 13
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City | MIAMI
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State | FL
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Zip | 33174-1216
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DON
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Name | MARCELINO SUAREZ
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Credential |
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Telephone | 305-548-4836
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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 | HH19966464
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License Number State | FL
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