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General NPI Number Information
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NPI Number | 1982760401
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Entity Type | Organization
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Legal Business Name | MS HHA II INC.
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 01/12/2009
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Provider Practice Location Address
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Address Line | 1400 NE MIAMI GARDENS DR SUITE 200
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City | MIAMI
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State | FL
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Zip | 33179-4845
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Country | US
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Telephone | 305-948-1700
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Fax | 305-948-1701
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Provider Business Mailing Address
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Address Line | 1400 NE MIAMI GARDENS DR SUITE 200
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City | MIAMI
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State | FL
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Zip | 33179-4845
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Country | US
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Telephone | 305-948-1700
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. HARLEY SYKES
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Credential | RN
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Telephone | 305-948-1700
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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 | HHA20475096
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License Number State | FL
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