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General NPI Number Information
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NPI Number | 1679447049
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Entity Type | Organization
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Legal Business Name | RENACER COMMUNITY CARE LLC
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Dates
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Enumeration Date | 09/30/2025
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 950 NE 120TH ST
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City | BISCAYNE PARK
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State | FL
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Zip | 33161-6450
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Country | US
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Telephone | 305-496-1513
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Fax | 305-402-3111
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Provider Business Mailing Address
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Address Line | 4665 SW 152ND AVE
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City | MIRAMAR
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State | FL
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Zip | 33027-3358
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Country | US
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Telephone | 786-547-2924
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Fax | 305-402-3111
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MARILU NODARSE
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Credential |
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Telephone | 305-496-1513
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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 |
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License Number State |
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