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General NPI Number Information
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NPI Number | 1609409218
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Entity Type | Organization
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Legal Business Name | ALF TU HOGAR LLC
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Dates
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Enumeration Date | 02/21/2020
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 8810 SW 21ST TER
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City | MIAMI
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State | FL
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Zip | 33165-8216
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Country | US
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Telephone | 786-452-8063
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Fax | 786-551-2482
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Provider Business Mailing Address
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Address Line | 8810 SW 21ST TER
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City | MIAMI
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State | FL
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Zip | 33165-8216
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Country | US
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Telephone | 786-452-8063
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Fax | 786-551-2482
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Authorized Official
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Title or Position | OWNER
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Name | KATIA FERNANDEZ
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Credential |
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Telephone | 954-817-6529
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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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