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General NPI Number Information
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NPI Number | 1134587124
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Entity Type | Organization
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Legal Business Name | SEAAURA EVENTS LLC
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Dates
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Enumeration Date | 02/04/2016
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Last Update Date | 02/04/2016
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Provider Practice Location Address
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Address Line | 13119 FENNWAY RIDGE DR
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City | RIVERVIEW
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State | FL
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Zip | 33579-7160
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Country | US
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Telephone | 813-579-0243
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Fax | 813-374-4921
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Provider Business Mailing Address
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Address Line | 13119 FENNWAY RIDGE DR
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City | RIVERVIEW
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State | FL
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Zip | 33579-7160
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Country | US
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Telephone | 813-579-0243
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Fax | 813-374-4921
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LAUREL OLAJIDE
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Credential |
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Telephone | 813-579-0243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 6906833
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License Number State | FL
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