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General NPI Number Information
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NPI Number | 1982167672
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Entity Type | Organization
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Legal Business Name | MINCE AND BETAIL CORPORATION LLC
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 04/09/2019
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Provider Practice Location Address
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Address Line | 7580 SW 30TH TER
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City | MIAMI
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State | FL
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Zip | 33155-2750
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Country | US
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Telephone | 305-265-9337
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Fax | 305-251-9063
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Provider Business Mailing Address
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Address Line | 7580 SW 30TH TER
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City | MIAMI
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State | FL
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Zip | 33155-2750
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Country | US
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Telephone | 305-265-9337
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Fax | 305-251-9063
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Authorized Official
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Title or Position | OWNER
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Name | ALBERTO VACAS NEGREDO
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Credential |
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Telephone | 786-803-6124
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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 |
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