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General NPI Number Information
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NPI Number | 1083660542
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Entity Type | Organization
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Legal Business Name | DOLPHINS VIEW HEALTH CARE ASSOCIATES LLC
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 11/26/2012
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Provider Practice Location Address
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Address Line | 1820 SHORE DR S
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4601
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Country | US
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Telephone | 727-384-9300
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Fax | 727-343-8430
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Provider Business Mailing Address
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Address Line | 1820 SHORE DR S
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-4601
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Country | US
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Telephone | 727-384-9300
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Fax | 727-343-8430
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Authorized Official
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Title or Position | MANAGER
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Name | ZACHARY T. STRUNK
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Credential |
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Telephone | 727-384-9300
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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 | SNF11260961
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License Number State | FL
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