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General NPI Number Information
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NPI Number | 1598245052
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Entity Type | Organization
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Legal Business Name | CANITAS ADULT DAY CARE CENTER, INC
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Dates
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Enumeration Date | 08/15/2018
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Last Update Date | 08/15/2018
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Provider Practice Location Address
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Address Line | 1738 W 49TH ST STE 13-15
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City | HIALEAH
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State | FL
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Zip | 33012-3456
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Country | US
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Telephone | 305-557-6545
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Fax | 305-557-6508
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Provider Business Mailing Address
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Address Line | 1738 W 49TH ST STE 13-15
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City | HIALEAH
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State | FL
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Zip | 33012-3456
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Country | US
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Telephone | 305-557-6545
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Fax | 305-557-6508
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Authorized Official
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Title or Position | PRESIDENT
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Name | OSIEL FIGUEREDO
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Credential |
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Telephone | 305-557-8007
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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 | 9426
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License Number State | FL
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