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General NPI Number Information
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NPI Number | 1043728777
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Entity Type | Organization
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Legal Business Name | THE SANDS AT SOUTH BEACH FACILITY INC
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 01/16/2018
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Provider Practice Location Address
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Address Line | 42 COLLINS AVE
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City | MIAMI BEACH
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State | FL
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Zip | 33139-7314
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Country | US
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Telephone | 305-672-1771
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Fax |
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Provider Business Mailing Address
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Address Line | 400 RELLA BLVD STE 200
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City | MONTEBELLO
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State | NY
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Zip | 10901-4239
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Country | US
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Telephone | 845-746-5082
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED MEMBER
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Name | MICHAEL BLEICH
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Credential |
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Telephone | 845-746-5082
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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 |
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License Number State |
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