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General NPI Number Information
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NPI Number | 1124610373
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Entity Type | Organization
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Legal Business Name | FAMILIA ADULT DAY CARE INC
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Dates
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Enumeration Date | 02/09/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 5951 NW 173RD DR # B10
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City | HIALEAH
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State | FL
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Zip | 33015-5112
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Country | US
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Telephone | 305-923-2159
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Fax |
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Provider Business Mailing Address
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Address Line | 3440 W 100TH TER
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City | HIALEAH
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State | FL
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Zip | 33018-2103
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Country | US
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Telephone | 305-298-1043
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JAEL CUE
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Credential |
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Telephone | 305-923-2159
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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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