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General NPI Number Information
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NPI Number | 1497939045
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Entity Type | Organization
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Legal Business Name | DAYLIEN LIVING FACILITY
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Dates
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Enumeration Date | 12/18/2007
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Last Update Date | 12/18/2007
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Provider Practice Location Address
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Address Line | 2920 SW 12TH ST
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City | MIAMI
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State | FL
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Zip | 33135-4716
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Country | US
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Telephone | 305-300-4460
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 SW 12TH ST
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City | MIAMI
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State | FL
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Zip | 33135-4716
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Country | US
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Telephone | 305-300-4460
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ARNALDO CASAS
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Credential |
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Telephone | 305-300-4460
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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 | AL9140
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License Number State | FL
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