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General NPI Number Information
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NPI Number | 1720267362
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Entity Type | Organization
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Legal Business Name | ALL CARE RESIDENTIAL TREATMENT CENTERS, INC.
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 10/31/2007
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Provider Practice Location Address
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Address Line | 18901 SW 97TH AVE
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City | CUTLER BAY
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State | FL
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Zip | 33157-7830
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Country | US
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Telephone | 786-251-1318
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Fax | 305-378-9441
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Provider Business Mailing Address
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Address Line | 18969 SW 80TH CT
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City | CUTLER BAY
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State | FL
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Zip | 33157-7429
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Country | US
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Telephone | 786-251-1318
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Fax | 305-378-9441
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. SUSANA C. RODRIGUEZ
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Credential |
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Telephone | 786-251-1318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 11656GH
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 11744GH
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 11468GH
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License Number State | FL
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