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General NPI Number Information
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NPI Number | 1902183551
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Entity Type | Organization
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Legal Business Name | LOVE AND LIFE HOME HEALTH AGENCY INC
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Dates
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Enumeration Date | 11/10/2011
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Last Update Date | 10/23/2012
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Provider Practice Location Address
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Address Line | 13460 SW 271ST LN
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City | HOMESTEAD
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State | FL
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Zip | 33032-8567
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Country | US
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Telephone | 786-234-2865
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Fax |
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Provider Business Mailing Address
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Address Line | 28620 SW 144TH AVE
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City | HOMESTEAD
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State | FL
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Zip | 33033-1606
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Country | US
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Telephone | 786-234-2865
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TRACEY WEBBER
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Credential |
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Telephone | 786-234-2865
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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 |
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