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General NPI Number Information
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NPI Number | 1861038630
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Entity Type | Organization
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Legal Business Name | ROSE MARIE ALF, CORP.
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Dates
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Enumeration Date | 11/26/2019
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 2540 SW 108TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-2465
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Country | US
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Telephone | 305-904-0563
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Fax | 305-221-8025
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Provider Business Mailing Address
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Address Line | 2540 SW 108TH AVE
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City | MIAMI
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State | FL
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Zip | 33165-2465
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Country | US
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Telephone | 305-904-0563
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Fax | 305-221-8025
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSE ALVAREZ
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Credential |
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Telephone | 305-904-0563
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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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