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General NPI Number Information
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NPI Number | 1003237363
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Entity Type | Organization
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Legal Business Name | HARBORCHASE OF VERO BEACH, INC.
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Dates
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Enumeration Date | 01/03/2014
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Last Update Date | 01/03/2014
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Provider Practice Location Address
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Address Line | 4150 INDIAN RIVER BLVD
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City | VERO BEACH
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State | FL
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Zip | 32967-7224
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Country | US
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Telephone | 772-778-7727
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Fax | 772-778-7721
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Provider Business Mailing Address
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Address Line | 1440 HIGHWAY A1A
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City | VERO BEACH
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State | FL
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Zip | 32963-2310
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Country | US
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Telephone | 772-492-5002
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Fax | 772-492-5005
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Authorized Official
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Title or Position | TREASURER
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Name | THOMAS MITCHELL
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Credential |
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Telephone | 772-492-5002
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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 | AL11030
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License Number State | FL
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