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General NPI Number Information
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NPI Number | 1023485950
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Entity Type | Organization
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Legal Business Name | ASSISTED LIVING OF FLORIDA LTD. INC.
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 08/26/2015
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Provider Practice Location Address
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Address Line | 11840 108TH CT
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City | SEMINOLE
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State | FL
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Zip | 33778-3616
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Country | US
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Telephone | 727-394-9624
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Fax |
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Provider Business Mailing Address
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Address Line | 10860 118TH ST
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City | SEMINOLE
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State | FL
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Zip | 33778-3625
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Country | US
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Telephone | 727-394-9624
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. SEMIRA HOFFMANN
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Credential |
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Telephone | 727-394-9624
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 5414-6-GA
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License Number State | FL
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