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General NPI Number Information
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NPI Number | 1831081199
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Entity Type | Organization
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Legal Business Name | MY DEAR GRANDPARENTS CORP
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Dates
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Enumeration Date | 07/18/2025
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 2607 ARMENIA CT
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City | TAMPA
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State | FL
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Zip | 33614-4303
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Country | US
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Telephone | 813-598-4955
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Fax | 813-915-8722
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Provider Business Mailing Address
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Address Line | 2607 ARMENIA CT
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City | TAMPA
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State | FL
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Zip | 33614-4303
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Country | US
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Telephone | 813-598-4955
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Fax | 813-915-8722
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Authorized Official
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Title or Position | ADMINIOSTRATOR
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Name | YUSNIEL OLIVA-SANTANA
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Credential |
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Telephone | 813-598-4955
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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 |
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License Number State |
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