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General NPI Number Information
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NPI Number | 1629820311
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Entity Type | Organization
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Legal Business Name | LEIDY ALF LLC
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Dates
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Enumeration Date | 04/04/2024
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 9341 SW 32ND ST
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City | MIAMI
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State | FL
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Zip | 33165-4102
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Country | US
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Telephone | 305-315-2202
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Fax | 305-827-0077
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Provider Business Mailing Address
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Address Line | 9341 SW 32ND ST
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City | MIAMI
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State | FL
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Zip | 33165-4102
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Country | US
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Telephone | 305-315-2202
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Fax | 305-827-0077
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Authorized Official
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Title or Position | OWNER
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Name | LEIDY ABAD
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Credential |
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Telephone | 786-527-4341
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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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