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General NPI Number Information
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NPI Number | 1710836127
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Entity Type | Organization
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Legal Business Name | CROMARTIE GROUP HOME INC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 3730 NW 195TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-1938
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Country | US
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Telephone | 305-879-0823
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Fax | 305-879-0823
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Provider Business Mailing Address
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Address Line | 3730 NW 195TH ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-1938
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Country | US
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Telephone | 305-879-0823
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Fax | 305-879-0823
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Authorized Official
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Title or Position | GROUP HOME PROVIDER
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Name | MS. GWENVANETTE CROMARTIE
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Credential |
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Telephone | 305-879-0823
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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