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General NPI Number Information
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NPI Number | 1952562431
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Entity Type | Organization
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Legal Business Name | TALMAIA HOME HEALTH AGENCY
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 5203 SW 18TH ST
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City | WEST PARK
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State | FL
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Zip | 33023-3156
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Country | US
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Telephone | 786-290-1036
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Fax |
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Provider Business Mailing Address
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Address Line | 5203 SW 18TH ST
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City | WEST PARK
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State | FL
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Zip | 33023-3156
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Country | US
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Telephone | 786-290-1036
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. VEANDA KATRINA THOMAS
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Credential | LPN
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Telephone | 786-290-1036
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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 | PN5152114
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License Number State | FL
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