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General NPI Number Information
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NPI Number | 1073870119
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Entity Type | Organization
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Legal Business Name | A&J ALF OF FLORIDA INC
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2466 RALPH AVE SE
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City | PALM BAY
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State | FL
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Zip | 32909-6085
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Country | US
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Telephone | 754-245-3745
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Fax | 321-729-9331
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Provider Business Mailing Address
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Address Line | 2466 RALPH AVE SE
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City | PALM BAY
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State | FL
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Zip | 32909-6085
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Country | US
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Telephone | 754-245-3745
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Fax | 321-729-9331
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Authorized Official
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Title or Position | ADMINISTTATOR
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Name | ANGELLA R SPENCE
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Credential |
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Telephone | 754-245-3745
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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 | FL
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