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General NPI Number Information
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NPI Number | 1962203349
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Entity Type | Organization
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Legal Business Name | MDHOME
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 825 SW 23RD RD
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City | MIAMI
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State | FL
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Zip | 33129-1933
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Country | US
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Telephone | 917-601-8706
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Fax |
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Provider Business Mailing Address
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Address Line | 825 SW 23RD RD
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City | MIAMI
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State | FL
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Zip | 33129-1933
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Country | US
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Telephone | 917-601-8706
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. SETH JEREMY MARQUIT
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Credential | MD
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Telephone | 305-343-2974
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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