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General NPI Number Information
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NPI Number | 1982569174
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Entity Type | Organization
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Legal Business Name | KIARA COMMUNITY GROUP HOME INC
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 9061 SW 212TH TER
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City | CUTLER BAY
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State | FL
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Zip | 33189-3867
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Country | US
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Telephone | 305-244-3633
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Fax | 305-244-3633
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Provider Business Mailing Address
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Address Line | 9061 SW 212TH TER
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City | CUTLER BAY
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State | FL
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Zip | 33189-3867
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Country | US
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Telephone | 305-244-3633
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Fax | 305-244-3633
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Authorized Official
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Title or Position | OWNER
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Name | MARYDUNIA CASTRO
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Credential |
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Telephone | 305-244-3633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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