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General NPI Number Information
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NPI Number | 1003470543
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Entity Type | Organization
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Legal Business Name | SILVER LINING ESTATES
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Dates
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Enumeration Date | 04/30/2019
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Last Update Date | 04/30/2019
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Provider Practice Location Address
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Address Line | 36140 COUNTY ROAD 439
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City | EUSTIS
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State | FL
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Zip | 32736-8308
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Country | US
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Telephone | 352-483-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 36140 COUNTY ROAD 439
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City | EUSTIS
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State | FL
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Zip | 32736-8308
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA DARFUS
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Credential |
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Telephone | 352-483-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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