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General NPI Number Information
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NPI Number | 1720772833
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Entity Type | Organization
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Legal Business Name | ETERNITY LIFE CARE LLC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 13301 SW 132ND AVE UNIT 102
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City | MIAMI
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State | FL
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Zip | 33186-6189
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Country | US
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Telephone | 786-531-4948
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Fax | 786-652-9879
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Provider Business Mailing Address
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Address Line | 13301 SW 132ND AVE UNIT 102
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City | MIAMI
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State | FL
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Zip | 33186-6189
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Country | US
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Telephone | 786-531-4948
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Fax | 786-652-9879
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANA FINALES SUAREZ
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Credential |
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Telephone | 305-613-8827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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