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General NPI Number Information
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NPI Number | 1851748842
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Entity Type | Organization
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Legal Business Name | ALLIANCE FOR AGING, INC.
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 760 NW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33172-3162
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Country | US
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Telephone | 305-671-6327
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Fax | 305-222-4110
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Provider Business Mailing Address
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Address Line | 760 NW 107TH AVE
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City | MIAMI
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State | FL
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Zip | 33172-3162
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Country | US
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Telephone | 305-671-6327
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Fax | 305-222-4110
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MR. MAX ROTHMAN
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Credential | JD
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Telephone | 305-670-6500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | FL
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