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General NPI Number Information
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NPI Number | 1457584393
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Entity Type | Organization
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Legal Business Name | MERCY & MICHAEL ALF, INC
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Dates
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Enumeration Date | 08/26/2009
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Last Update Date | 08/26/2009
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Provider Practice Location Address
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Address Line | 3000-3002 SW 23 TERRACE
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City | MIAMI
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State | FL
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Zip | 33145
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Country | US
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Telephone | 786-295-5920
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Fax | 305-207-2379
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Provider Business Mailing Address
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Address Line | 3000-3002 SW 23 TERRACE
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City | MIAMI
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State | FL
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Zip | 33145
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Country | US
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Telephone | 786-295-5920
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Fax | 305-207-2379
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. AGUSTINA R RODRIGUEZ
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Credential |
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Telephone | 786-295-5920
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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 | 11389
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License Number State | FL
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