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General NPI Number Information
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NPI Number | 1174485064
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Entity Type | Organization
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Legal Business Name | BLAIZE A.L.F. SOLUTIONS, LLC
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Dates
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Enumeration Date | 11/29/2025
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Last Update Date | 11/29/2025
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Provider Practice Location Address
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Address Line | 11520 SW 108TH AVE
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City | MIAMI
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State | FL
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Zip | 33176-3967
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Country | US
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Telephone | 305-255-8158
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Fax | 855-359-6308
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Provider Business Mailing Address
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Address Line | 17321 SW 109TH AVE
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City | MIAMI
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State | FL
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Zip | 33157-4039
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Country | US
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Telephone | 786-256-5435
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Fax | 786-256-5435
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KAMELIA BLAIZE
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Credential |
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Telephone | 786-256-5435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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