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General NPI Number Information
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NPI Number | 1851830855
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Entity Type | Organization
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Legal Business Name | ABC ADULT DAY CARE, LLC
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Dates
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Enumeration Date | 02/23/2017
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Last Update Date | 02/23/2017
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Provider Practice Location Address
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Address Line | 11150 SW 211TH ST SUITE # 100
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City | CUTLER BAY
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State | FL
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Zip | 33189-2845
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Country | US
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Telephone | 786-255-1569
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Fax |
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Provider Business Mailing Address
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Address Line | 11150 SW 211TH ST SUITE # 100
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City | CUTLER BAY
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State | FL
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Zip | 33189-2845
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Country | US
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Telephone | 786-255-1569
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Fax |
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Authorized Official
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Title or Position | AMBR
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Name | DANIEL OROZCO
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Credential |
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Telephone | 786-255-1569
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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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