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General NPI Number Information
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NPI Number | 1760970727
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Entity Type | Organization
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Legal Business Name | RISE AND SHINE ADULT DAY CARE LLC
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Dates
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Enumeration Date | 04/25/2018
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Last Update Date | 04/25/2018
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Provider Practice Location Address
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Address Line | 5615 SW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33173-1269
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Country | US
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Telephone | 786-409-5040
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Fax | 786-206-2441
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Provider Business Mailing Address
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Address Line | 8360 SW 35TH TER
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City | MIAMI
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State | FL
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Zip | 33155-3346
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Country | US
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Telephone | 786-409-5040
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Fax | 786-206-2441
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Authorized Official
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Title or Position | OPERATOR
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Name | MRS. YOELAINYS HIDALGO
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Credential |
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Telephone | 786-314-0652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 9415
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License Number State | FL
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