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General NPI Number Information
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NPI Number | 1447871868
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Entity Type | Organization
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Legal Business Name | CHELY'S CARE ALF INC.
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Dates
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Enumeration Date | 04/27/2020
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Last Update Date | 04/30/2020
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Provider Practice Location Address
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Address Line | 10841 CORAL REEF DR
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City | MIAMI
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State | FL
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Zip | 33157-1327
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Country | US
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Telephone | 786-245-0733
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Fax | 850-583-7863
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Provider Business Mailing Address
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Address Line | 10841 CORAL REEF DR
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City | MIAMI
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State | FL
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Zip | 33157-1327
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Country | US
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Telephone | 786-245-0733
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Fax | 850-583-7863
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Authorized Official
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Title or Position | OWNER/ADMIN
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Name | YENISEIS UBEDA
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Credential |
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Telephone | 786-624-1806
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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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