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General NPI Number Information
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NPI Number | 1386750164
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Entity Type | Organization
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Legal Business Name | ARA-AVENTURA, LLC
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 19056 NE 29TH AVE
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City | AVENTURA
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State | FL
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Zip | 33180-2802
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Country | US
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Telephone | 305-692-9006
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Fax | 305-682-9391
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Provider Business Mailing Address
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Address Line | 19056 NE 29TH AVE
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City | AVENTURA
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State | FL
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Zip | 33180-2802
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Country | US
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Telephone | 305-692-9006
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Fax | 305-682-9391
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Authorized Official
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Title or Position | MANAGER
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Name | MONIQUE HARTELL
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Credential |
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Telephone | 480-632-3415
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State |
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