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General NPI Number Information
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NPI Number | 1497964563
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Entity Type | Organization
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Legal Business Name | NORITA ADULT FAMILY CARE
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 11971 SW 118TH ST
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City | MIAMI
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State | FL
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Zip | 33186-5109
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Country | US
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Telephone | 305-274-9563
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Fax | 305-225-1289
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Provider Business Mailing Address
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Address Line | 11971 SW 118TH ST
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City | MIAMI
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State | FL
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Zip | 33186-5109
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Country | US
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Telephone | 305-274-9563
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Fax | 305-225-1289
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Authorized Official
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Title or Position | OWNER
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Name | MRS. NORA SANDIGO
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Credential |
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Telephone | 305-274-9563
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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 | AL8591
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License Number State | FL
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