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General NPI Number Information
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NPI Number | 1669498473
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Entity Type | Organization
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Legal Business Name | A GIFT FROM LIFE
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8745 SW 144TH STREET
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 305-233-5706
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Fax | 305-259-5396
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Provider Business Mailing Address
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Address Line | 8745 SW 144TH STREET
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City | MIAMI
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State | FL
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Zip | 33176
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Country | US
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Telephone | 305-233-5706
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Fax | 305-259-5396
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Authorized Official
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Title or Position | OWNER ASSISTANT ADMINISTRATOR
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Name | PAMELA MENDOZA
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Credential |
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Telephone | 786-326-4835
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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 | AL10465
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License Number State | FL
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