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General NPI Number Information
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NPI Number | 1467241992
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Entity Type | Individual
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Provider Name | FLOR CENTENO
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Gender | Female
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 175 FONTAINEBLEAU BLVD STE 1R2
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City | MIAMI
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State | FL
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Zip | 33172-7023
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Country | US
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Telephone | 786-317-9024
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Fax | 786-359-4020
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Provider Business Mailing Address
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Address Line | 10000 NW 9TH STREET CIR APT 16
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City | MIAMI
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State | FL
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Zip | 33172-5118
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Country | US
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Telephone | 786-368-1014
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | CNA307196
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License Number State | FL
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