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General NPI Number Information
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NPI Number | 1730576513
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Entity Type | Organization
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Legal Business Name | LOYALTY CARE SERVICES LLC
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 7171 SW 24TH ST STE 417A
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City | MIAMI
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State | FL
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Zip | 33155-1693
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Country | US
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Telephone | 786-615-6620
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Fax |
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Provider Business Mailing Address
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Address Line | 7171 SW 24TH ST STE 417A
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City | MIAMI
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State | FL
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Zip | 33155-1693
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NELSON M MARTINEZ
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Credential |
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Telephone | 786-615-6620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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