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General NPI Number Information
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NPI Number | 1093156622
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Entity Type | Organization
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Legal Business Name | BACERRA-LEGASPI CARE CORP
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 07/11/2013
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Provider Practice Location Address
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Address Line | 10144 BROWNWOOD AVE
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City | ORLANDO
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State | FL
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Zip | 32825-6624
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Country | US
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Telephone | 321-354-9734
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Fax |
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Provider Business Mailing Address
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Address Line | 10144 BROWNWOOD AVE
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City | ORLANDO
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State | FL
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Zip | 32825-6624
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Country | US
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Telephone | 321-354-9734
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Fax |
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Authorized Official
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Title or Position | ADM/OWNER
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Name | FRANK LEGASPI
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Credential |
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Telephone | 321-354-9734
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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 | AL10997
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License Number State | FL
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