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General NPI Number Information
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NPI Number | 1659882637
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Entity Type | Organization
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Legal Business Name | NOELITO ALF CORPORATION
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Dates
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Enumeration Date | 10/18/2017
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Last Update Date | 10/18/2017
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Provider Practice Location Address
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Address Line | 12720 SW 43RD DR
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City | MIAMI
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State | FL
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Zip | 33175-4133
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Country | US
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Telephone | 305-226-2308
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Fax |
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Provider Business Mailing Address
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Address Line | 12720 SW 43RD DR
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City | MIAMI
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State | FL
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Zip | 33175-4133
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ROGELIO GELEL
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Credential |
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Telephone | 305-226-2308
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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 | 9212
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License Number State | FL
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