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General NPI Number Information
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NPI Number | 1831305440
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Entity Type | Organization
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Legal Business Name | SANTOVENIA ADULT DAY CARE
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 13359 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33175-3204
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Country | US
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Telephone | 305-227-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 13359 SW 42ND ST
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City | MIAMI
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State | FL
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Zip | 33175-3204
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Country | US
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Telephone | 305-227-9500
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MARISABEL PERDOMO
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Credential |
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Telephone | 305-227-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 8891
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License Number State | FL
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