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General NPI Number Information
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NPI Number | 1013134287
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Entity Type | Organization
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Legal Business Name | SHCC SERVICES INC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 3355 E SEMORAN BLVD
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City | APOPKA
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State | FL
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Zip | 32703-6062
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Country | US
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Telephone | 407-862-6263
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Fax | 407-862-4188
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Provider Business Mailing Address
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Address Line | 602 COURTLAND ST SUITE 200
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City | ORLANDO
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State | FL
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Zip | 32804-1360
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Country | US
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Telephone | 407-975-3000
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Fax | 407-975-3090
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Authorized Official
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Title or Position | VP CFO
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Name | MISS RONALD M WEHTJE
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Credential |
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Telephone | 407-975-3010
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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 | SNF11550962
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License Number State | FL
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