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General NPI Number Information
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NPI Number | 1467744037
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Entity Type | Organization
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Legal Business Name | MARIA AUXILIADORA
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Dates
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Enumeration Date | 05/13/2011
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Last Update Date | 05/13/2011
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Provider Practice Location Address
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Address Line | 31 SW 113TH AVE APT 105
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City | MIAMI
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State | FL
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Zip | 33174-1188
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Country | US
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Telephone | 786-348-6058
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Fax |
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Provider Business Mailing Address
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Address Line | 31 SW 113TH AVE APT 105
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City | MIAMI
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State | FL
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Zip | 33174-1188
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Country | US
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Telephone | 786-348-6058
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AUXILIADORA OJEDA
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Credential |
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Telephone | 786-348-6058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | CNA166035
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | CNA166035
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License Number State | FL
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