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General NPI Number Information
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NPI Number | 1962869974
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Entity Type | Organization
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Legal Business Name | BEL AIRE RETIREMENT HOME
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Dates
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Enumeration Date | 01/21/2016
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Last Update Date | 05/18/2016
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Provider Practice Location Address
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Address Line | 9955 SW 196TH ST
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City | CUTLER BAY
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State | FL
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Zip | 33157-8665
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Country | US
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Telephone | 305-232-0429
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Fax | 786-228-0984
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Provider Business Mailing Address
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Address Line | 9955 SW 196 STREET
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City | MIAMI
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State | CUTLER BAY
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Zip | 33157
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Country | UM
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Telephone | 305-232-0429
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Fax | 786-228-0984
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MISS MARIE CARTIA REGNIER
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Credential |
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Telephone | 786-286-4484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number | AL10692
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License Number State | FL
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