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General NPI Number Information
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NPI Number | 1912181926
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Entity Type | Organization
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Legal Business Name | GOD IS FIRST A.L.F INC.
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 03/09/2009
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Provider Practice Location Address
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Address Line | 11316 S.W 246TH TERRACE
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City | HOMESTEAD
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State | FL
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Zip | 33032-4645
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Country | US
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Telephone | 305-508-8412
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Fax | 305-258-2933
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Provider Business Mailing Address
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Address Line | 11316 SW 246TH TER
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City | HOMESTEAD
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State | FL
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Zip | 33032-4645
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Country | US
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Telephone | 305-508-8412
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Fax | 305-258-2933
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MR. RAYMOND F RIVERO
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Credential |
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Telephone | 305-508-8412
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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 | AL11122
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License Number State | FL
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