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General NPI Number Information
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NPI Number | 1063846657
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Entity Type | Organization
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Legal Business Name | TOUCH OF KLASS ALF INC
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Dates
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Enumeration Date | 08/30/2013
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Last Update Date | 08/30/2013
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Provider Practice Location Address
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Address Line | 560 SW 60TH AVE
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City | PLANTATION
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State | FL
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Zip | 33317-3948
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Country | US
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Telephone | 954-583-7799
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Fax | 954-587-0432
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Provider Business Mailing Address
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Address Line | 560 SW 60TH AVE
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City | PLANTATION
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State | FL
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Zip | 33317-3948
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Country | US
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Telephone | 954-583-7799
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Fax | 954-587-0432
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANGELLA B PITTERSON
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Credential | CNA
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Telephone | 954-583-7799
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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 | AL11583
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License Number State | FL
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