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General NPI Number Information
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NPI Number | 1538545934
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Entity Type | Organization
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Legal Business Name | ALLY CARE SERVICES INC.
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 08/07/2015
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Provider Practice Location Address
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Address Line | 21548 SW 89TH PATH
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City | CUTLER BAY
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State | FL
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Zip | 33189-7353
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Country | US
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Telephone | 786-732-6193
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Fax | 786-732-6190
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Provider Business Mailing Address
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Address Line | 21548 SW 89TH PATH
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City | CUTLER BAY
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State | FL
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Zip | 33189-7353
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Country | US
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Telephone | 786-732-6193
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Fax | 786-732-6190
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YVETTE LARACUENTE
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Credential |
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Telephone | 305-910-6246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 008709700
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License Number State | FL
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