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General NPI Number Information
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NPI Number | 1619117553
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Entity Type | Organization
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Legal Business Name | CASA SALCINES A.L.F. INC.
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Dates
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Enumeration Date | 03/05/2009
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Last Update Date | 03/05/2009
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Provider Practice Location Address
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Address Line | 9220 SW 164TH ST
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-3455
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Country | US
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Telephone | 305-252-2465
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Fax | 305-252-3869
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Provider Business Mailing Address
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Address Line | 9220 SW 164TH ST
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City | VILLAGE OF PALMETTO BAY
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State | FL
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Zip | 33157-3455
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Country | US
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Telephone | 305-252-2465
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Fax | 305-252-3869
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BERTA SALCINES JAFFE
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Credential |
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Telephone | 305-252-2465
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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 | AL11524
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License Number State | FL
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