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General NPI Number Information
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NPI Number | 1871098871
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Entity Type | Organization
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Legal Business Name | FAITHFULNESSCARELLC
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Dates
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Enumeration Date | 03/29/2018
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 835 NW 168TH TER
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-5326
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Country | US
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Telephone | 786-356-5453
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Fax |
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Provider Business Mailing Address
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Address Line | 835 NW 168TH TER
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City | MIAMI GARDENS
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State | FL
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Zip | 33169-5326
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Country | US
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Telephone | 786-356-5453
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Fax |
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Authorized Official
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Title or Position | HHA
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Name | ALECIA MANDELA MALLETT
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Credential |
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Telephone | 786-356-5453
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HHA
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License Number State | FL
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