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General NPI Number Information
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NPI Number | 1912106923
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Entity Type | Organization
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Legal Business Name | L.R. COMMSOJO AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 1031 IVES DAIRY RD SUITE 228
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City | MIAMI
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State | FL
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Zip | 33179-2538
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Country | US
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Telephone | 305-479-2391
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Fax | 305-749-2392
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Provider Business Mailing Address
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Address Line | 2968 MYRTLE OAK CIR
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City | DAVIE
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State | FL
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Zip | 33328-6737
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Country | US
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Telephone | 954-474-9040
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Fax | 305-749-2392
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CONRADO L VALEROS
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Credential | R.N.
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Telephone | 305-749-2391
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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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