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General NPI Number Information
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NPI Number | 1699594671
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE COMFORT CARE 2 LLC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 1660 NW 135TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33167-1608
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Country | US
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Telephone | 786-534-8708
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Fax | 786-254-7459
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Provider Business Mailing Address
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Address Line | 1660 NW 135TH ST
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City | NORTH MIAMI
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State | FL
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Zip | 33167-1608
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Country | US
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Telephone | 786-534-8708
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Fax | 786-254-7459
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Authorized Official
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Title or Position | OWNER
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Name | LESTER CARDOSO
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Credential |
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Telephone | 786-534-8708
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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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