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General NPI Number Information
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NPI Number | 1609380534
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Entity Type | Organization
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Legal Business Name | ADVANCED CARE AND SUPPORT SERVICES LLC.
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Dates
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Enumeration Date | 11/30/2017
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Last Update Date | 11/30/2017
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Provider Practice Location Address
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Address Line | 11601 BISCAYNE BLVD
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City | MIAMI
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State | FL
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Zip | 33181-3151
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Country | US
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Telephone | 786-238-1523
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Fax |
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Provider Business Mailing Address
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Address Line | 11601 BISCAYNE BLVD 101
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City | MIAMI
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State | FL
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Zip | 33181-3151
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Country | US
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Telephone | 786-238-1523
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEAN WOLDY FILS-AIME
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Credential |
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Telephone | 786-238-1523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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