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General NPI Number Information
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NPI Number | 1902163645
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Entity Type | Organization
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Legal Business Name | DEL CASTILLO ADULT DAY CARE, INC.
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Dates
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Enumeration Date | 04/19/2012
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 3536 WEST FLAGLER ST.
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City | MIAMI
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State | FL
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Zip | 33135
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Country | US
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Telephone | 786-531-0848
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Fax | 786-502-4097
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Provider Business Mailing Address
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Address Line | 3536 WEST FLAGLER ST.
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City | MIAMI
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State | FL
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Zip | 33135
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Country | US
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Telephone | 786-531-0848
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Fax | 786-502-4097
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Authorized Official
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Title or Position | OWNER
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Name | YOLANDA GUERRA
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Credential |
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Telephone | 786-760-4212
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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 | 9197
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License Number State | FL
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