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General NPI Number Information
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NPI Number | 1396925293
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Entity Type | Organization
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Legal Business Name | BETLIFE HEALTHCARE CORP.
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Dates
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Enumeration Date | 11/07/2007
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Last Update Date | 01/27/2014
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Provider Practice Location Address
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Address Line | 13058 SW 133RD CT
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City | MIAMI
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State | FL
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Zip | 33186-5855
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Country | US
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Telephone | 305-223-2878
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Fax | 305-223-2863
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Provider Business Mailing Address
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Address Line | 13058 SW 133RD CT
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City | MIAMI
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State | FL
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Zip | 33186-5855
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Country | US
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Telephone | 305-223-2878
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Fax | 305-223-2863
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Authorized Official
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Title or Position | DON/ADMINISTRATOR
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Name | MRS. LEANET CABRERA
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Credential | RN
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Telephone | 305-223-2878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299992928
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License Number State | FL
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