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General NPI Number Information
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NPI Number | 1801039748
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Entity Type | Organization
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Legal Business Name | PALMETTO ALF II INC.
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Dates
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Enumeration Date | 04/08/2009
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 8933 N.W. 172 TERR.
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City | HALEAH
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State | FL
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Zip | 33018
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Country | US
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Telephone | 305-820-9050
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Fax | 305-820-9050
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Provider Business Mailing Address
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Address Line | 8933 N.W. 172 TERR.
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City | HIALEAH
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State | FL
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Zip | 33018
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Country | US
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Telephone | 305-820-9050
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Fax | 305-820-9050
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Authorized Official
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Title or Position | OWNER/ADMIN.
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Name | ANA M ANDRADE
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Credential |
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Telephone | 786-312-3723
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL11553
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 11553
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License Number State | FL
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