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General NPI Number Information
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NPI Number | 1114067717
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Entity Type | Organization
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Legal Business Name | ACACIA'S CORP
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 15295 PALMETTO LAKE DR
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City | MIAMI
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State | FL
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Zip | 33157-1747
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Country | US
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Telephone | 305-251-1344
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Fax | 305-386-1196
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Provider Business Mailing Address
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Address Line | 15295 PALMETTO LAKE DR
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City | MIAMI
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State | FL
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Zip | 33157-1747
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Country | US
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Telephone | 305-251-1344
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Fax | 305-386-1196
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Authorized Official
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Title or Position | PRESIDENT
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Name | ABEL ESCALANTE
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Credential |
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Telephone | 786-385-5565
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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 | AL7350
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License Number State | FL
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