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General NPI Number Information
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NPI Number | 1053292144
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Entity Type | Organization
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Legal Business Name | PERSONA BESPOKE LLC
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 8208 S CORAL CIR
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-4144
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Country | US
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Telephone | 561-888-9328
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Fax |
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Provider Business Mailing Address
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Address Line | 8208 S CORAL CIR
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-4144
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Country | US
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Telephone | 561-888-9328
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Fax |
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Authorized Official
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Title or Position | MNG
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Name | ABRAM HERNANDEZ
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Credential | CNA
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Telephone | 561-888-9328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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