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General NPI Number Information
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NPI Number | 1891944740
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Entity Type | Organization
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Legal Business Name | IBU HOME HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 09/16/2008
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 2G13
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City | MIAMI
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State | FL
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Zip | 33172-7012
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Country | US
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Telephone | 305-781-4623
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Fax |
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Provider Business Mailing Address
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Address Line | 175 FONTAINBLEAU BLVD SUITE G-9
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City | MIAMI
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State | FL
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Zip | 33172-4511
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Country | US
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Telephone | 305-781-4623
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GEANNCO R ROJAS
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Credential | RN
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Telephone | 305-781-4623
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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 |
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License Number State | FL
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