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General NPI Number Information
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NPI Number | 1144681032
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Entity Type | Organization
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Legal Business Name | PALMS ROYALE ALF LLC
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 03/25/2016
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Provider Practice Location Address
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Address Line | 13573 ORANGE GROVE BLVD
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-8483
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Country | US
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Telephone | 561-713-2704
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Fax | 561-513-6344
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Provider Business Mailing Address
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Address Line | 13573 ORANGE GROVE BLVD
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-8483
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Country | US
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Telephone | 561-713-2704
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Fax | 561-513-6344
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DAVID RICHARD ROWE
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Credential |
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Telephone | 561-713-2704
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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 | AL12809
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License Number State | FL
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