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General NPI Number Information
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NPI Number | 1003287244
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Entity Type | Organization
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Legal Business Name | HARB ENTERPRISES LLC
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Dates
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Enumeration Date | 10/14/2015
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Last Update Date | 05/10/2023
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Provider Practice Location Address
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Address Line | 1754 ENSLEY AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-7221
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Country | US
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Telephone | 727-586-1969
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Fax | 727-585-3207
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Provider Business Mailing Address
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Address Line | 1754 ENSLEY AVE
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City | CLEARWATER
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State | FL
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Zip | 33756-7221
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Country | US
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Telephone | 727-586-1969
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Fax | 727-585-3207
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | HUSSEIN HARB
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Credential |
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Telephone | 727-586-1969
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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 | 8632
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License Number State | FL
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