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General NPI Number Information
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NPI Number | 1437818259
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Entity Type | Organization
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Legal Business Name | BELLA ALF LLC
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Dates
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Enumeration Date | 12/08/2021
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 17783 S.W. 145TH AVE.
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City | MIAMI
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State | FL
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Zip | 33177-2695
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Country | US
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Telephone | 786-478-6992
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Fax | 786-478-6992
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Provider Business Mailing Address
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Address Line | 17783 S.W. 145TH AVE.
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City | MIAMI
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State | FL
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Zip | 33177-2695
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Country | US
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Telephone | 786-478-6992
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Fax | 786-478-6992
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Authorized Official
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Title or Position | OWNER
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Name | LILIANNY PUERTAS ORTEGA
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Credential |
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Telephone | 305-924-2425
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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 |
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