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General NPI Number Information
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NPI Number | 1104452408
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Entity Type | Organization
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Legal Business Name | A & L ADULT DAY CARE CORP.
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Dates
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Enumeration Date | 03/18/2020
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Last Update Date | 03/18/2020
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Provider Practice Location Address
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Address Line | 5911 NW 173RD DR UNIT 12
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City | HIALEAH
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State | FL
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Zip | 33015-5122
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Country | US
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Telephone | 305-491-0062
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Fax |
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Provider Business Mailing Address
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Address Line | 6288 NW 186TH ST APT 210
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City | HIALEAH
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State | FL
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Zip | 33015-6047
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Country | US
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Telephone | 786-731-7098
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANNIA ARREGUI
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Credential |
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Telephone | 786-731-7098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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