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General NPI Number Information
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NPI Number | 1649156910
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Entity Type | Organization
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Legal Business Name | COLONIAL ASSISTED LIVING AT AVENTURA LLC
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 2777 NE 183RD ST
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City | AVENTURA
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State | FL
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Zip | 33160-2165
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Country | US
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Telephone | 954-600-6333
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Fax |
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Provider Business Mailing Address
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Address Line | 4901 NW 17TH WAY STE 303
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3772
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Country | US
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Telephone | 954-600-6333
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | RICKI KANETI
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Credential | MDR
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Telephone | 954-600-6333
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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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