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General NPI Number Information
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NPI Number | 1598444390
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Entity Type | Organization
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Legal Business Name | A1 RECOVERY CENTER LLC
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Dates
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Enumeration Date | 07/18/2023
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Last Update Date | 06/10/2024
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Provider Practice Location Address
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Address Line | 9100 S DADELAND BLVD STE 1500
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City | MIAMI
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State | FL
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Zip | 33156-7816
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Country | US
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Telephone | 305-351-3135
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Fax |
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Provider Business Mailing Address
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Address Line | 19330 SW 134TH CT
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City | MIAMI
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State | FL
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Zip | 33177-4133
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Country | US
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Telephone | 305-987-9312
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | OLIVE WARE
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Credential | CNA
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Telephone | 305-351-3135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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