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General NPI Number Information
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NPI Number | 1649635319
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Entity Type | Organization
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Legal Business Name | ADULT DAY OF AVENTURA CORP
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | 3575 NE 207TH ST B-6-A
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City | AVENTURA
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State | FL
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Zip | 33180-3771
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Country | US
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Telephone | 786-350-7002
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Fax |
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Provider Business Mailing Address
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Address Line | 3575 NE207 STREET B-6-A
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City | AVENTURA
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State | FL
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Zip | 33180
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Country | US
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Telephone | 786-350-7002
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SIGAL ADINYAYEV
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Credential |
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Telephone | 786-350-7002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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