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General NPI Number Information
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NPI Number | 1114672995
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Entity Type | Organization
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Legal Business Name | CASALIA GARDEN ASSISTED LIVING
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Dates
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Enumeration Date | 02/19/2022
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Last Update Date | 02/19/2022
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Provider Practice Location Address
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Address Line | 13031 PARTRIDGE ST
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City | SPRING HILL
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State | FL
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Zip | 34608-1300
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Country | US
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Telephone | 352-293-2630
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Fax | 352-433-1077
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Provider Business Mailing Address
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Address Line | 13031 PARTRIDGE ST
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City | SPRING HILL
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State | FL
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Zip | 34608-1300
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Country | US
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Telephone | 352-293-2630
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Fax | 352-433-1077
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Authorized Official
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Title or Position | OWNER
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Name | ALIA QURESHI
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Credential |
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Telephone | 813-300-1799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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Taxonomy #3
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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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