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General NPI Number Information
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NPI Number | 1922743830
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Entity Type | Organization
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Legal Business Name | CANITAS II ADULT DAY CARE INC
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Dates
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Enumeration Date | 05/04/2022
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Last Update Date | 10/21/2023
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Provider Practice Location Address
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Address Line | 1290 W 49TH ST STE 2
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City | HIALEAH
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State | FL
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Zip | 33012-3297
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Country | US
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Telephone | 305-364-5549
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Fax | 305-364-5592
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Provider Business Mailing Address
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Address Line | 413 NE VAN LOON LN STE 110
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City | CAPE CORAL
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State | FL
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Zip | 33909-2528
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Country | US
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Telephone | 239-652-3183
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Fax | 239-673-6141
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Authorized Official
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Title or Position | PRESIDENT
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Name | TANIA BATISTA
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Credential |
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Telephone | 786-661-0242
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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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