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General NPI Number Information
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NPI Number | 1891385456
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Entity Type | Organization
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Legal Business Name | SANTOS ALF CORP.
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Dates
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Enumeration Date | 01/19/2021
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Last Update Date | 08/01/2022
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Provider Practice Location Address
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Address Line | 10935 SW 218TH TER
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City | MIAMI
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State | FL
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Zip | 33170-3053
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Country | US
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Telephone | 305-964-7597
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Fax | 305-964-7597
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Provider Business Mailing Address
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Address Line | 10935 SW 218TH TER
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City | MIAMI
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State | FL
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Zip | 33170-3053
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Country | US
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Telephone | 305-964-7597
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Fax | 305-964-7597
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Authorized Official
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Title or Position | OWNER
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Name | OMAR MENDEZ
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Credential |
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Telephone | 305-910-9465
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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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