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General NPI Number Information
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NPI Number | 1225580228
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Entity Type | Organization
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Legal Business Name | MUGICA GROUP HOME, INC.
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Dates
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Enumeration Date | 10/26/2016
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 9860 CARIBBEAN BLVD
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City | CUTLER BAY
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State | FL
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Zip | 33189-1572
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Country | US
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Telephone | 786-768-8556
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Fax | 786-732-4562
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Provider Business Mailing Address
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Address Line | 9860 CARIBBEAN BLVD
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City | CUTLER BAY
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State | FL
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Zip | 33189-1572
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Country | US
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Telephone | 786-768-8556
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Fax | 786-732-4562
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Authorized Official
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Title or Position | CEO
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Name | NORAIDA MUGICA
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Credential |
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Telephone | 786-768-8556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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