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General NPI Number Information
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NPI Number | 1013213586
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Entity Type | Organization
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Legal Business Name | MIA CONSULTING GROUP, INC.
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Dates
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Enumeration Date | 02/01/2011
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Last Update Date | 02/01/2011
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Provider Practice Location Address
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Address Line | 5208 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2005
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Country | US
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Telephone | 187-786-4424
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Fax | 187-748-0880
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Provider Business Mailing Address
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Address Line | 5208 ALTON RD
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City | MIAMI BEACH
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State | FL
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Zip | 33140-2005
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Country | US
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Telephone | 187-786-4424
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Fax | 187-748-0880
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Authorized Official
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Title or Position | CEO
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Name | MS. CONCEPCION TRELLES BRETOS
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Credential |
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Telephone | 305-864-4248
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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 | 10314
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License Number State | FL
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