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General NPI Number Information
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NPI Number | 1114450111
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Entity Type | Organization
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Legal Business Name | INFINITE COMPLETE CARE, LLC
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Dates
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Enumeration Date | 04/06/2017
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Last Update Date | 06/11/2020
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Provider Practice Location Address
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Address Line | 31 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-6014
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Country | US
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Telephone | 786-481-5909
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Fax | 786-481-5908
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Provider Business Mailing Address
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Address Line | 31 N KROME AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-6014
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Country | US
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Telephone | 786-481-5909
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Fax | 786-481-5908
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. ALDRIANA ALMONTE
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Credential | LCSW
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Telephone | 786-383-8357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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