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General NPI Number Information
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NPI Number | 1003817636
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Entity Type | Organization
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Legal Business Name | THE PLACE AT WEST PALM BEACH INC
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Dates
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Enumeration Date | 08/04/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2090 N CONGRESS AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-8210
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Country | US
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Telephone | 561-686-5100
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Fax | 561-686-9530
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Provider Business Mailing Address
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Address Line | 2090 N CONGRESS AVE
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-8210
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Country | US
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Telephone | 561-686-5100
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Fax | 561-686-9530
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KIMNIE C BENNETT
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Credential | NHA
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Telephone | 561-686-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF16290951
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL8367
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License Number State | FL
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