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General NPI Number Information
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NPI Number | 1275823395
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Entity Type | Organization
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Legal Business Name | CENTOS NURSING CARE INC
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 10/24/2017
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Provider Practice Location Address
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Address Line | 400 SUNNY ISLES BLVD APT 1603
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-5093
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Country | US
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Telephone | 786-333-2490
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Fax |
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Provider Business Mailing Address
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Address Line | 400 SUNNY ISLES BLVD APT 1603
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-5093
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Country | US
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Telephone | 786-333-2490
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANABEL CENTO
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Credential | ARNP
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Telephone | 786-333-2490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 9228624
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License Number State | FL
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