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General NPI Number Information
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NPI Number | 1730640483
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Entity Type | Organization
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Legal Business Name | DELUXE CARE CORP
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 9710 E INDIGO ST STE 202
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City | MIAMI
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State | FL
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Zip | 33157-5613
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Country | US
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Telephone | 305-850-4486
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Fax |
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Provider Business Mailing Address
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Address Line | 9710 E INDIGO ST STE 202
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City | MIAMI
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State | FL
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Zip | 33157-5613
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Country | US
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Telephone | 305-850-4486
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LUPE ACELA GARCIA OLITE
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Credential |
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Telephone | 305-497-2239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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