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General NPI Number Information
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NPI Number | 1912446352
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Entity Type | Organization
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Legal Business Name | LOVING HEART ADULT DAY CARE INC
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Dates
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Enumeration Date | 02/17/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 422 NE 2ND PL SUITE 100
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City | CAPE CORAL
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State | FL
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Zip | 33909-1955
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Country | US
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Telephone | 239-443-5337
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Fax |
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Provider Business Mailing Address
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Address Line | 422 NE 2ND PL SUITE 100
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City | CAPE CORAL
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State | FL
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Zip | 33909-1955
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Country | US
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Telephone | 239-443-5337
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MIGUEL DIAZ
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Credential |
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Telephone | 239-443-5337
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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 | 9380
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License Number State | FL
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