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General NPI Number Information
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NPI Number | 1114307550
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Entity Type | Organization
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Legal Business Name | ELDER'S PLACE ADULT DAY CARE
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 06/01/2015
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Provider Practice Location Address
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Address Line | 12318 QUAIL ROOST DR
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City | MIAMI
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State | FL
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Zip | 33177-4930
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Country | US
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Telephone | 786-708-7607
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Fax |
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Provider Business Mailing Address
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Address Line | 12318 QUAIL ROOST DR
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City | MIAMI
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State | FL
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Zip | 33177-4930
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Country | US
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Telephone | 786-708-7607
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. NATASHA MELENDEZ
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Credential |
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Telephone | 786-348-6156
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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 | 9317
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License Number State | FL
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