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General NPI Number Information
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NPI Number | 1245081413
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Entity Type | Organization
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Legal Business Name | PARAISO DOS GARDENIAS II LLC
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 17851 SW 11TH CT
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4412
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Country | US
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Telephone | 954-673-0194
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Fax | 786-513-0427
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Provider Business Mailing Address
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Address Line | 17851 SW 11TH CT
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4412
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Country | US
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Telephone | 954-673-0194
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Fax | 786-513-0427
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Authorized Official
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Title or Position | OWNER
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Name | ZULEIDY NAVARRETE
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Credential |
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Telephone | 786-227-0853
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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 |
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License Number State |
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