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General NPI Number Information
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NPI Number | 1992571376
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Entity Type | Organization
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Legal Business Name | VIP FAMILY HHC, LLC
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Dates
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Enumeration Date | 11/28/2023
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Last Update Date | 11/28/2023
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Provider Practice Location Address
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Address Line | 7362 FUTURES DR STE 14 OFFICE 106
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City | ORLANDO
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State | FL
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Zip | 32819-9086
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Country | US
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Telephone | 321-272-3345
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Fax | 407-650-3396
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Provider Business Mailing Address
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Address Line | 7362 FUTURES DR STE 14 OFFICE 106
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City | ORLANDO
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State | FL
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Zip | 32819-9086
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Country | US
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Telephone | 321-272-3345
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Fax | 407-650-3396
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Authorized Official
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Title or Position | OWNER, CFO
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Name | OCTAVIO DE JESUS CRUZ MARTINEZ
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Credential | RN
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Telephone | 321-272-3345
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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 |
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