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General NPI Number Information
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NPI Number | 1114287257
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Entity Type | Organization
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Legal Business Name | ADULT DAY CARE CENTERS CORP
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 19110 SW 177TH AVE STE C
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City | MIAMI
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State | FL
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Zip | 33187-2004
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Country | US
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Telephone | 305-233-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 19110 SW 177TH AVE STE C
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City | MIAMI
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State | FL
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Zip | 33187-2004
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Country | US
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Telephone | 305-233-2222
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MRS. LISANDRA CENTERS PUERTA
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Credential |
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Telephone | 130-523-3222
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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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