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General NPI Number Information
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NPI Number | 1700397270
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Entity Type | Organization
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Legal Business Name | MIAMI NUTITION CATERING INC
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 420 PALM AVE
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City | HIALEAH
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State | FL
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Zip | 33010-4718
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Country | US
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Telephone | 786-553-8488
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Fax | 786-513-6424
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Provider Business Mailing Address
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Address Line | 420 PALM AVE
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City | HIALEAH
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State | FL
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Zip | 33010-4718
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Country | US
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Telephone | 786-553-8488
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Fax | 786-513-6424
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEJANDRO ABERTO SANTANA
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Credential |
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Telephone | 786-553-8488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number | CAT2329545
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License Number State | FL
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