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General NPI Number Information
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NPI Number | 1861289845
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Entity Type | Organization
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Legal Business Name | BEAUTY DOLLS NURSE REGISTRY LLC
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Dates
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Enumeration Date | 04/22/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 12039 SW 132ND CT UNIT 28-3
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City | MIAMI
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State | FL
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Zip | 33186-4785
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Country | US
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Telephone | 305-964-5123
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Fax | 305-964-5358
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Provider Business Mailing Address
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Address Line | 12039 SW 132ND CT UNIT 28-3
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City | MIAMI
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State | FL
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Zip | 33186-4785
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Country | US
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Telephone | 305-964-5123
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Fax | 305-964-5358
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Authorized Official
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Title or Position | OWNER
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Name | MAIKEL CRESPO MARTINEZ
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Credential |
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Telephone | 305-964-5123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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