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General NPI Number Information
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NPI Number | 1972097046
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Entity Type | Organization
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Legal Business Name | LA VIDA EN ROSA ADULT DAY CARE INC
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 2433 SW 147TH AVE
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City | MIAMI
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State | FL
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Zip | 33185-4082
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Country | US
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Telephone | 305-551-6386
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Fax | 305-551-6382
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Provider Business Mailing Address
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Address Line | 2433 SW 147TH AVE
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City | MIAMI
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State | FL
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Zip | 33185-4082
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Country | US
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Telephone | 305-551-6386
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Fax | 305-551-6382
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Authorized Official
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Title or Position | VICE PRESIDENT/OPERATOR
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Name | MRS. ROSA PAIROT
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Credential |
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Telephone | 786-382-4330
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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 | 9421
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License Number State | FL
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