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General NPI Number Information
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NPI Number | 1285837559
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Entity Type | Organization
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Legal Business Name | CENTRAL PALACE SERVICES, INC.
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 4491 SW 8 ST
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City | MIAMI
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-445-3565
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Fax | 305-445-3307
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Provider Business Mailing Address
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Address Line | 4491 SW 8 ST
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City | MIAMI
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State | FL
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Zip | 33134
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Country | US
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Telephone | 305-445-3565
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Fax | 305-445-3307
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Authorized Official
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Title or Position | OWNER
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Name | ESPERANZA ELENA PEREZ
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Credential |
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Telephone | 305-812-7667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | 7107
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 7107
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License Number State | FL
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