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General NPI Number Information
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NPI Number | 1952723942
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Entity Type | Organization
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Legal Business Name | PARADISE LOVING FACILITY, INC.
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Dates
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Enumeration Date | 01/10/2014
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Last Update Date | 01/10/2014
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Provider Practice Location Address
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Address Line | 1425 SW 91ST AVE
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City | MIAMI
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State | FL
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Zip | 33174-3129
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Country | US
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Telephone | 786-227-9244
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Fax |
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Provider Business Mailing Address
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Address Line | 4100 SW 103RD CT
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City | MIAMI
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State | FL
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Zip | 33165-4938
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Country | US
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Telephone | 786-227-9244
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARIELA ESTRADA
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Credential |
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Telephone | 786-227-9244
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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 |
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License Number State | FL
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