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General NPI Number Information
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NPI Number | 1922529759
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Entity Type | Organization
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Legal Business Name | M & P LOVING ADULT DAY CARE LLC
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Dates
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Enumeration Date | 07/01/2017
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Last Update Date | 07/01/2017
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Provider Practice Location Address
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Address Line | 8303 N ARMENIA AVE
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City | TAMPA
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State | FL
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Zip | 33604-2759
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Country | US
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Telephone | 813-449-3877
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Fax | 844-633-5300
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Provider Business Mailing Address
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Address Line | 2903 W SAINT CONRAD ST
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City | TAMPA
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State | FL
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Zip | 33607-2922
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Country | US
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Telephone | 813-449-3877
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Fax | 844-633-5300
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | YAINES PERDOMO
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Credential |
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Telephone | 813-449-3877
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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 |
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License Number State |
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