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General NPI Number Information
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NPI Number | 1578993150
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Entity Type | Organization
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Legal Business Name | RITA MARIA TWO ALF, INC.
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Dates
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Enumeration Date | 11/19/2013
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Last Update Date | 11/19/2013
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Provider Practice Location Address
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Address Line | 1352 SW 44 STREET
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City | MIAMI
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State | FL
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Zip | 33194
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Country | US
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Telephone | 305-986-1688
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Fax | 305-986-1688
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Provider Business Mailing Address
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Address Line | 16649 SW 44TH ST
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City | MIAMI
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State | FL
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Zip | 33185-5342
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Country | US
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Telephone | 305-986-1688
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Fax | 305-986-1688
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. ANGELA M MENENDEZ
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Credential |
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Telephone | 786-376-2155
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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 | AL12432
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License Number State | FL
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