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General NPI Number Information
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NPI Number | 1588561534
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Entity Type | Organization
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Legal Business Name | BECKY GOLDEN HOME LLC
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Dates
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Enumeration Date | 10/22/2026
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Last Update Date | 10/22/2026
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Provider Practice Location Address
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Address Line | 73 E 47TH ST
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City | HIALEAH
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State | FL
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Zip | 33013-1839
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Country | US
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Telephone | 786-558-4021
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Fax | 786-558-4021
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Provider Business Mailing Address
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Address Line | 73 E 47TH ST
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City | HIALEAH
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State | FL
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Zip | 33013-1839
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Country | US
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Telephone | 786-558-4021
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Fax | 786-558-4021
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Authorized Official
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Title or Position | OWNER/ADMIN
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Name | REBECA M ABREU MARTINEZ
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Credential |
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Telephone | 305-537-8599
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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 |
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License Number State |
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