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General NPI Number Information
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NPI Number | 1871104729
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Entity Type | Organization
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Legal Business Name | CENTER FOR AGING AND REHABILITATION OF MIAMI GARDENS INC
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/14/2020
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Provider Practice Location Address
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Address Line | 190 NE 191ST ST
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City | MIAMI
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State | FL
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Zip | 33179-3711
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Country | US
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Telephone | 305-651-9690
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Fax | 305-654-9123
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Provider Business Mailing Address
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Address Line | 100 SE 2ND ST STE 2000
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City | MIAMI
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State | FL
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Zip | 33131-2101
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Country | US
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Telephone | 954-367-4597
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Fax | 954-367-4564
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Authorized Official
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Title or Position | PRESIDENT DIRECTOR
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Name | MS. MARGARET H FERNANDEZ
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Credential |
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Telephone | 954-367-4597
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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