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General NPI Number Information
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NPI Number | 1932358256
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Entity Type | Organization
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Legal Business Name | MILLIE HOME CARE CORP.
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 12/07/2018
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Provider Practice Location Address
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Address Line | 17810 S.W. 137 CT.
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City | MIAMI
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State | FL
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Zip | 33177
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Country | US
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Telephone | 305-232-9841
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Fax | 305-251-9063
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Provider Business Mailing Address
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Address Line | 17810 S.W. 137 CT.
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City | MIAMI
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State | FL
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Zip | 33177
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Country | US
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Telephone | 305-232-9841
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Fax | 305-251-9063
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Authorized Official
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Title or Position | OWNER/ADMIN.
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Name | ALBERTO VACAS NEGREDO
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Credential |
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Telephone | 786-803-6124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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