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General NPI Number Information
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NPI Number | 1184410383
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Entity Type | Organization
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Legal Business Name | LOVING CARE SOCIAL CLUB LLC
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Dates
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Enumeration Date | 04/16/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 19717 NW 37TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-2250
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Country | US
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Telephone | 305-859-1024
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Fax | 305-974-5326
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Provider Business Mailing Address
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Address Line | 19717 NW 37TH AVE
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City | MIAMI GARDENS
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State | FL
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Zip | 33056-2250
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Country | US
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Telephone | 305-859-1024
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Fax | 305-974-5326
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Authorized Official
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Title or Position | PRESIDENT
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Name | ELSALENA VALENTIN
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Credential |
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Telephone | 786-301-5615
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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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