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General NPI Number Information
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NPI Number | 1962762526
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Entity Type | Organization
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Legal Business Name | CELEBRATION ADULT DAY CARE INC
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Dates
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Enumeration Date | 05/16/2012
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 10739 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33174-1421
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Country | US
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Telephone | 305-631-2616
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Fax |
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Provider Business Mailing Address
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Address Line | 10739 W FLAGLER ST
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City | MIAMI
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State | FL
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Zip | 33174-1421
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Country | US
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Telephone | 305-631-2616
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SUSANA RODRIGUEZ
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Credential |
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Telephone | 786-352-1753
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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 | 9194
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License Number State | FL
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