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General NPI Number Information
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NPI Number | 1518752096
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Entity Type | Organization
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Legal Business Name | AMOR BONITO ADULT DAY CARE LLC
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 870 E 41ST ST
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City | HIALEAH
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State | FL
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Zip | 33013-2455
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Country | US
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Telephone | 729-207-1231
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Fax | 305-488-1693
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Provider Business Mailing Address
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Address Line | 870 E 41ST ST
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City | HIALEAH
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State | FL
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Zip | 33013-2455
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Country | US
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Telephone | 729-207-1231
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Fax | 305-488-1693
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAVIER IZQUIERDO
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Credential |
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Telephone | 786-442-5112
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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