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General NPI Number Information
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NPI Number | 1154443356
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Entity Type | Organization
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Legal Business Name | NATION SERIOR CARE, INC.
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3157 W 78TH PL
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-3848
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Country | US
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Telephone | 305-975-4109
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Fax | 305-816-9996
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Provider Business Mailing Address
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Address Line | 3157 W 78TH PL
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City | HIALEAH GARDENS
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State | FL
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Zip | 33018-3848
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Country | US
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Telephone | 305-975-4109
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Fax | 305-816-9996
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. IRENE BOUZA
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Credential |
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Telephone | 305-975-4109
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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 | AL9143
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License Number State | FL
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