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General NPI Number Information
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NPI Number | 1043226400
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Entity Type | Organization
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Legal Business Name | ALDERSGATE HEALTHCARE INC
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 01/09/2008
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Provider Practice Location Address
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Address Line | 5300 W 16TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-2104
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Country | US
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Telephone | 305-556-3500
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Fax | 305-821-1407
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Provider Business Mailing Address
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Address Line | 5300 W 16TH AVE
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City | HIALEAH
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State | FL
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Zip | 33012-2104
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Country | US
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Telephone | 305-556-3500
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Fax | 305-821-1407
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. GARY FEATHERS
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Credential |
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Telephone | 305-238-9954
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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 | SNF1235096
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License Number State | FL
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