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General NPI Number Information
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NPI Number | 1952140915
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Entity Type | Organization
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Legal Business Name | LAUCHY MED SERVICES INC
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Dates
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Enumeration Date | 05/20/2024
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 25130 SW 114TH AVE
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City | HOMESTEAD
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State | FL
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Zip | 33032-6329
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Country | US
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Telephone | 786-616-3491
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Fax |
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Provider Business Mailing Address
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Address Line | 25130 SW 114TH AVE
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City | HOMESTEAD
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State | FL
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Zip | 33032-6329
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TANIA GOMEZ LAUCHY
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Credential |
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Telephone | 786-616-3491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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