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General NPI Number Information
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NPI Number | 1982886297
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Entity Type | Organization
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Legal Business Name | STAR LIGHT HEALTH CARE AGENCY INC
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Dates
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Enumeration Date | 11/28/2007
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Last Update Date | 02/20/2008
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Provider Practice Location Address
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Address Line | 11398 W FLAGLER ST SUITE205
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City | MIAMI
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State | FL
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Zip | 33174-4213
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Country | US
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Telephone | 305-222-2240
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Fax | 305-222-0223
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Provider Business Mailing Address
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Address Line | 11398 W FLAGLER ST SUITE205
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City | MIAMI
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State | FL
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Zip | 33174-4213
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Country | US
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Telephone | 305-222-2240
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Fax | 305-222-0223
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. NAYELI DIAZ
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Credential |
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Telephone | 305-222-2240
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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 |
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License Number State | FL
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