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General NPI Number Information
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NPI Number | 1093150146
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Entity Type | Organization
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Legal Business Name | MARGATE MANOR, INC
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Dates
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Enumeration Date | 05/02/2013
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Last Update Date | 05/02/2013
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Provider Practice Location Address
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Address Line | 1189 W RIVER DR
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City | MARGATE
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State | FL
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Zip | 33063-3578
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Country | US
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Telephone | 954-972-0200
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Fax | 954-563-3939
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Provider Business Mailing Address
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Address Line | 1189 W RIVER DR
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City | MARGATE
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State | FL
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Zip | 33063-3578
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Country | US
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Telephone | 954-972-0200
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Fax | 954-563-3939
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Authorized Official
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Title or Position | OWNER
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Name | MR. RALPH A MARRINSON
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Credential |
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Telephone | 954-566-8353
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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 | 6649
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License Number State | FL
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