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General NPI Number Information
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NPI Number | 1003018482
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Entity Type | Organization
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Legal Business Name | EDEN GARDENS, LLC
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 12221 W DIXIE HWY
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City | NORTH MIAMI
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State | FL
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Zip | 33161-5427
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Country | US
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Telephone | 305-893-2634
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Fax |
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Provider Business Mailing Address
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Address Line | 140 W 28TH ST
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City | HIALEAH
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State | FL
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Zip | 33010-1606
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Country | US
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Telephone | 305-863-0002
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | CLAUDIA PACE
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Credential |
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Telephone | 305-863-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL8209
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | AL8209
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License Number State | FL
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