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General NPI Number Information
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NPI Number | 1376840884
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Entity Type | Organization
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Legal Business Name | DIVERSE FAMILY SOLUTIONS, INC.
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 7667 TROPICANA ST
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City | MIRAMAR
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State | FL
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Zip | 33023-2550
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Country | US
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Telephone | 954-993-0706
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Fax | 954-374-6941
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Provider Business Mailing Address
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Address Line | 7667 TROPICANA ST
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City | MIRAMAR
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State | FL
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Zip | 33023-2550
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Country | US
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Telephone | 954-993-0706
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Fax | 954-374-6941
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KERRI ANN MONTANEZ
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Credential |
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Telephone | 954-993-0706
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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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