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General NPI Number Information
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NPI Number | 1477310845
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Entity Type | Organization
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Legal Business Name | ALLY CARE SERVICES, INC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 21548 SW 89TH PATH
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City | CUTLER BAY
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State | FL
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Zip | 33189-7353
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Country | US
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Telephone | 786-732-6193
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Fax | 786-732-6190
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Provider Business Mailing Address
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Address Line | 21548 SW 89TH PATH
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City | CUTLER BAY
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State | FL
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Zip | 33189-7353
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Country | US
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Telephone | 786-732-6193
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Fax | 786-732-6190
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Authorized Official
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Title or Position | ADMINISTRATION
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Name | WANDA YVETTE LARACUENTE
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Credential |
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Telephone | 786-732-6193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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