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General NPI Number Information
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NPI Number | 1033900097
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Entity Type | Organization
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Legal Business Name | POMPANO BEACH SLC TENANT LLC
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 1371 S OCEAN BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33062-7130
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Country | US
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Telephone | 617-796-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 255 WASHINGTON ST STE 230
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City | NEWTON
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State | MA
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Zip | 02458-1644
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Country | US
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Telephone | 617-796-8300
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CHIEF EXECUTIVE OFFICER
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Name | CHRISTOPHER J BILOTTO
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Credential |
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Telephone | 617-796-8387
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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 |
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License Number State |
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