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General NPI Number Information
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NPI Number | 1659760064
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Entity Type | Organization
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Legal Business Name | M & G ACLF, INC.
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Dates
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Enumeration Date | 01/22/2015
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Last Update Date | 01/22/2015
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Provider Practice Location Address
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Address Line | 15900 NE 19TH CT
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-5783
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Country | US
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Telephone | 305-956-7766
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Fax |
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Provider Business Mailing Address
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Address Line | 15900 NE 19TH CT
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33162-5783
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Country | US
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Telephone | 305-956-7766
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIRLANDE J. JONES
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Credential |
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Telephone | 786-486-8232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | AL7823
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License Number State | FL
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