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General NPI Number Information
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NPI Number | 1043667421
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Entity Type | Organization
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Legal Business Name | CONTINUAL CARE FACILITY
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Dates
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Enumeration Date | 05/16/2016
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 9360 NW 20TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3112
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Country | US
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Telephone | 954-281-5079
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Fax |
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Provider Business Mailing Address
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Address Line | 9360 NW 20TH ST
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-3112
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Country | US
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Telephone | 954-281-5079
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | OPAL BRADSHAW
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Credential |
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Telephone | 954-281-5079
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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 | AL12783
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License Number State | FL
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