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General NPI Number Information
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NPI Number | 1952762437
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Entity Type | Organization
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Legal Business Name | ANOS DORADOS ADULT DAY CARE ACTIVITY AND RECREATION CENTER
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Dates
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Enumeration Date | 03/11/2016
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Last Update Date | 03/11/2016
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Provider Practice Location Address
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Address Line | 14711 PALMETTO PALM AVE
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City | MIAMI LAKES
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State | FL
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Zip | 33014-2674
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Country | US
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Telephone | 305-608-5167
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Fax |
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Provider Business Mailing Address
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Address Line | 7751 W 28TH AVE UNIT 11
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City | HIALEAH
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State | FL
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Zip | 33016-5113
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Country | US
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Telephone | 305-608-5167
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANIET LOSADA
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Credential |
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Telephone | 305-608-5167
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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 | 9341
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License Number State | FL
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