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General NPI Number Information
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NPI Number | 1649488974
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Entity Type | Organization
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Legal Business Name | ELPA HOME CARE
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 9950 SW, 83 ST. 9950 SW, 83 ST
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City | MIAMI
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State | FL
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Zip | 33173
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Country | US
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Telephone | 305-412-7710
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Fax | 305-412-7710
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Provider Business Mailing Address
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Address Line | 9950 SW 83RD ST
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City | MIAMI
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State | FL
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Zip | 33173-4012
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Country | US
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Telephone | 305-228-1444
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Fax | 302-225-1289
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Authorized Official
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Title or Position | PRESIDENTE
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Name | ARELYS F HERRERA
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Credential |
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Telephone | 305-412-7710
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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 | AL 5260
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License Number State | FL
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