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General NPI Number Information
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NPI Number | 1346566296
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Entity Type | Organization
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Legal Business Name | CAREONE CONNECTS
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Dates
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Enumeration Date | 04/18/2010
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Last Update Date | 04/18/2010
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Provider Practice Location Address
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Address Line | 17625 NW 37TH CT
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-3835
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Country | US
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Telephone | 305-767-8224
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Fax |
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Provider Business Mailing Address
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Address Line | 17625 NW 37TH CT
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-3835
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Country | US
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Telephone | 305-767-8224
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ASSISTING LIVING
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Name | CORNELIA WALLACE
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Credential | LICENSE AFL
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Telephone | 305-767-8224
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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 | FL
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