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General NPI Number Information
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NPI Number | 1104840735
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Entity Type | Organization
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Legal Business Name | RETIREMENT VILLAGE OF NORTH STRABANE FACILITY OPERATIONS, LLC
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | 200 TANDEM VILLAGE RD
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City | CANONSBURG
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State | PA
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Zip | 15317-6300
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Country | US
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Telephone | 724-746-0600
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Fax | 724-743-1103
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Provider Business Mailing Address
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Address Line | 800 CONCOURSE PKWY S SUITE 200
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City | MAITLAND
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State | FL
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Zip | 32751-6148
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Country | US
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Telephone | 407-571-1550
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Fax | 407-571-1599
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JOSEPH CONTE
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Credential |
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Telephone | 407-571-1550
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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 |
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