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General NPI Number Information
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NPI Number | 1265007868
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Entity Type | Organization
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Legal Business Name | MONTE DE HOREB ADULT DAYCARE, LLC
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 10841 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-4410
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Country | US
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Telephone | 786-431-1214
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Fax | 786-431-1910
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Provider Business Mailing Address
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Address Line | 10841 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-4410
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Country | US
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Telephone | 786-431-1214
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Fax | 786-431-1910
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Authorized Official
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Title or Position | OWNER
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Name | YUSIMIRY RAMIREZ
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Credential |
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Telephone | 786-663-6225
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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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