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General NPI Number Information
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NPI Number | 1770192569
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Entity Type | Organization
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Legal Business Name | MIRACLES OF LIFE AT CUTLER BAY, INC
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Dates
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Enumeration Date | 07/28/2020
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Last Update Date | 07/09/2022
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Provider Practice Location Address
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Address Line | 10994 SW 184TH ST.
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City | CUTLER BAY
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State | FL
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Zip | 33157-6615
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Country | US
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Telephone | 305-964-5530
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Fax | 305-290-3384
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Provider Business Mailing Address
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Address Line | 10994 SW 184TH ST.
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City | CUTLER BAY
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State | FL
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Zip | 33157-6615
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Country | US
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Telephone | 305-964-5530
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Fax | 305-290-3384
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Authorized Official
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Title or Position | CEO
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Name | ARNALDO RAFAEL ZAMORA OBREGON
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Credential | CEO
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Telephone | 305-964-5530
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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