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General NPI Number Information
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NPI Number | 1760938906
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Entity Type | Organization
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Legal Business Name | DE CARDENAS SERVICES CORP
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Dates
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Enumeration Date | 08/28/2016
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Last Update Date | 10/24/2016
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Provider Practice Location Address
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Address Line | 955 SW 2ND AVE APT 1010
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City | MIAMI
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State | FL
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Zip | 33130-3581
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Country | US
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Telephone | 305-921-3415
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Fax |
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Provider Business Mailing Address
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Address Line | 955 SW 2ND AVE APT 1010
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City | MIAMI
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State | FL
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Zip | 33130-3581
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Country | US
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Telephone | 305-921-3415
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MADELEINE BARBARA GARCIGA
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Credential |
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Telephone | 305-989-2682
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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