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General NPI Number Information
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NPI Number | 1891100640
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Entity Type | Organization
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Legal Business Name | HOME SAFE INSTALLATIONS, INC.
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 06/30/2014
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Provider Practice Location Address
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Address Line | 10773 NW 58TH ST 114
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City | DORAL
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State | FL
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Zip | 33178-2801
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Country | US
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Telephone | 786-256-9804
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Fax |
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Provider Business Mailing Address
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Address Line | 10773 NW 58TH ST 114
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City | DORAL
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State | FL
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Zip | 33178-2801
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Country | US
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Telephone | 786-256-9804
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. IVAN SAENZ
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Credential |
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Telephone | 786-256-9804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | CGC1515031
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License Number State | FL
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