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General NPI Number Information
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NPI Number | 1154318053
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Entity Type | Organization
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Legal Business Name | RICHMOND HEALTH CARE INC
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 04/08/2010
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Provider Practice Location Address
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Address Line | 4800 N NOB HILL RD
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City | SUNRISE
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State | FL
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Zip | 33351-4722
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Country | US
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Telephone | 954-577-3600
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Fax | 954-746-0261
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Provider Business Mailing Address
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Address Line | 4800 N NOB HILL RD
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City | SUNRISE
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State | FL
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Zip | 33351-4722
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Country | US
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Telephone | 954-577-3600
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Fax | 954-746-0261
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DORIS M PETERSON
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Credential |
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Telephone | 954-577-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | SNF1536096
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License Number State | FL
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