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General NPI Number Information
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NPI Number | 1902937683
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Entity Type | Organization
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Legal Business Name | MA HOME HEALTH AGENCY, INC.
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 01/16/2013
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Provider Practice Location Address
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Address Line | 8725 NW 18TH TER SUITE 219
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City | DORAL
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State | FL
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Zip | 33172-2622
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Country | US
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Telephone | 305-885-3246
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Fax | 305-885-3261
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Provider Business Mailing Address
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Address Line | 8725 NW 18TH TER SUITE 219
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City | DORAL
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State | FL
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Zip | 33172-2622
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Country | US
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Telephone | 305-885-3246
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Fax | 305-885-3261
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Authorized Official
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Title or Position | PRESIDENT / OWNER
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Name | LOURDES ECHAGARRUGA
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Credential |
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Telephone | 305-885-3246
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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 | 299992650
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License Number State | FL
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