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General NPI Number Information
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NPI Number | 1477371391
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Entity Type | Organization
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Legal Business Name | GUIDEWELL SANITAS I, LLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 2000 NW 87TH AVE STE 101102
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City | DORAL
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State | FL
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Zip | 33172-2654
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Country | US
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Telephone | 844-665-4827
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Fax |
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Provider Business Mailing Address
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Address Line | 8400 NW 33RD ST STE 201
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City | DORAL
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State | FL
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Zip | 33122-1937
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Country | US
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Telephone | 844-665-4827
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MAYRA G TORRES
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Credential |
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Telephone | 718-918-2370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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