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General NPI Number Information
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NPI Number | 1508393067
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Entity Type | Organization
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Legal Business Name | L & L SENIOR CARE INC
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Dates
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Enumeration Date | 05/16/2017
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Last Update Date | 05/16/2017
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Provider Practice Location Address
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Address Line | 1161 NIGHTINGALE AVE
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-3830
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Country | US
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Telephone | 305-887-4495
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Fax |
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Provider Business Mailing Address
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Address Line | 1161 NIGHTINGALE AVE
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City | MIAMI SPRINGS
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State | FL
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Zip | 33166-3830
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEONARDO JIMENEZ
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Credential |
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Telephone | 305-247-4152
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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 | 11229
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License Number State | FL
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