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General NPI Number Information
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NPI Number | 1194975672
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Entity Type | Organization
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Legal Business Name | LOVING ELDERLY CARE INC
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Dates
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Enumeration Date | 09/22/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 14898 SW 175TH ST
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City | MIAMI
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State | FL
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Zip | 33187-1790
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Country | US
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Telephone | 786-294-4281
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Fax |
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Provider Business Mailing Address
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Address Line | 14898 SW 175 ST
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City | MIAMI
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State | FL
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Zip | 33187
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Country | US
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Telephone | 786-294-4281
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | YAIMARA CARRILLO
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Credential |
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Telephone | 786-294-4281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL11364
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License Number State | FL
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