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General NPI Number Information
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NPI Number | 1841004538
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Entity Type | Organization
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Legal Business Name | LAS MERCEDES ADULT DAY CARE V, LLC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1247 W 44TH PL
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City | HIALEAH
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State | FL
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Zip | 33012-3331
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Country | US
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Telephone | 305-912-8595
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Fax | 786-636-6989
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Provider Business Mailing Address
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Address Line | 9839 SW 40TH ST
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City | MIAMI
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State | FL
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Zip | 33165-3993
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Country | US
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Telephone | 305-912-8595
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Fax | 786-636-6989
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Authorized Official
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Title or Position | DIRECTOR
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Name | CLARA RIVAS
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Credential |
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Telephone | 305-915-8595
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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 |
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License Number State |
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