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General NPI Number Information
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NPI Number | 1629423272
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Entity Type | Organization
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Legal Business Name | JASMINE ALF INC.
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Dates
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Enumeration Date | 05/02/2016
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Last Update Date | 06/08/2023
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Provider Practice Location Address
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Address Line | 16861 SW 92 COURT
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City | PALMETTO BAY
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State | FL
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Zip | 33157
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Country | US
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Telephone | 786-439-9205
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Fax |
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Provider Business Mailing Address
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Address Line | 16861 SW 92 COURT
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City | PALMETTO BAY
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State | FL
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Zip | 33157
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Country | US
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Telephone | 786-738-8400
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Fax | 786-219-4049
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Authorized Official
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Title or Position | OWNER
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Name | TAIMY DIAZ GARCIA
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Credential |
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Telephone | 786-439-9205
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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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