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General NPI Number Information
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NPI Number | 1528292430
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Entity Type | Organization
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Legal Business Name | DP&B ENTERPRISE INC
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Dates
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Enumeration Date | 05/06/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 14290 SABAL DR
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2539
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Country | US
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Telephone | 305-512-1073
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Fax |
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Provider Business Mailing Address
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Address Line | 14290 SABAL DR
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2539
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Country | US
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Telephone | 305-512-1073
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. DANIA PEREZ
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Credential | PRESIDENTE
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Telephone | 305-905-3524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number | 20083264
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License Number State | FL
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